person
Diane Ellen Shaw, CADACLL
Addiction (Substance Use Disorder) Counselor in Santa Ana, California
NPI 1225698954

Diane Ellen Shaw is an Addiction (Substance Use Disorder) Counselor based in Huntington Beach, CA and is specialized in Addiction (Substance Use Disorder). Diane Ellen Shaw practices in Santa Ana, CA and has the professional credentials of CADACLL. The NPI Number for Diane Ellen Shaw is 1225698954 and holds a License No. A014670315 (California).

The current practice location address for Diane Ellen Shaw is 1950 E 17Th St, Santa Ana, CA and can be reached out via phone at 714-547-4300 and via fax at 714-547-2109.

Location: 1950 E 17Th St, Santa Ana, CA, 92647-5454
person
Provider Profile Details
NPI Number
1225698954
Provider Name
Diane Ellen Shaw
Credential
CADACLL
Provider Entity Type
Individual
Gender
Female
Address
1950 E 17Th St, Santa Ana, CA, 92647-5454
Phone Number
714-547-4300
Fax Number
714-547-2109
Provider Enumeration Date
06/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1950 E 17Th St
City
State
Zip
92705-6852
Phone Number
714-547-4300
Fax Number
714-547-2109
person
Provider Business Mailing Address Details
Address
1950 E 17Th St
City
State
Zip
92705-6852
Phone Number
714-547-4300
Fax Number
714-547-2109
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A014670315 (California)
Definition
Definition to come...
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