Provider Demographics
NPI:1942044169
Name:WARNE, DIANE RENEE
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:RENEE
Last Name:WARNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:RENEE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:619 WOODWORTH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-1872
Mailing Address - Country:US
Mailing Address - Phone:559-326-5696
Mailing Address - Fax:559-326-5699
Practice Address - Street 1:619 WOODWORTH AVE STE 201
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-1872
Practice Address - Country:US
Practice Address - Phone:559-326-5696
Practice Address - Fax:559-326-5699
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional