Provider Demographics
NPI:1386259752
Name:DISKIN, JOHN M (MED, LMHC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:DISKIN
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Gender:M
Credentials:MED, LMHC
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Mailing Address - Street 1:4350 CORDATA PARKWAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8278
Mailing Address - Country:US
Mailing Address - Phone:360-922-6977
Mailing Address - Fax:360-922-3737
Practice Address - Street 1:4350 CORDATA PARKWAY
Practice Address - Street 2:SUITE 102
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8278
Practice Address - Country:US
Practice Address - Phone:360-922-6977
Practice Address - Fax:360-922-3737
Is Sole Proprietor?:No
Enumeration Date:2020-09-12
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA61083273101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health