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Stephan Matthew Diehl
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1144921370

Stephan Matthew Diehl is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Stephan Matthew Diehl practices in San Diego, CA. The NPI Number for Stephan Matthew Diehl is 1144921370 and holds a License No. R1475590722 (California).

The current practice location address for Stephan Matthew Diehl is 4161 Marlborough Ave, San Diego, CA and can be reached out via phone at 619-282-7274.

Location: 4161 Marlborough Ave, San Diego, CA, 92108-4108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144921370
Provider Name
Stephan Matthew Diehl
Credential
Provider Entity Type
Individual
Gender
Male
Address
4161 Marlborough Ave, San Diego, CA, 92108-4108
Phone Number
619-282-7274
Fax Number
Provider Enumeration Date
03/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4161 Marlborough Ave
City
San Diego
State
California
Zip
92105-1412
Phone Number
619-282-7274
Fax Number
person
Provider Business Mailing Address Details
Address
4161 Marlborough Ave
City
San Diego
State
California
Zip
92105-1412
Phone Number
619-282-7274
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1475590722 (California)
Definition
Definition to come...
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