Most Relevant Information
Provider Data
| NPI Number: | 1003541459 |
| Provider Name: | DIANE CONLEY LADACII, CAP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | ADC-009251-2015 |
Most Important Dates
| Enumeration Date: | 07/20/2022 |
| Last Updated: | 07/20/2022 |
Provider Practice Location
1725-WILMA RUDOLPH BLVD STE 1
CLARKSVILLE
TN
37040
Practice Location Phone/Fax
| Phone: | 9312212839 |
| Fax: |
Provider Mailing Location
24 TRIMBLE ST. APT C
NASHVILLE
TN
37210
Provider Mailing Phone/Fax
| Phone: | 5615069966 |
| Fax: |