person
Audrea A Diaz
Addiction (Substance Use Disorder) Counselor in Redlands, California
NPI 1275744674

Audrea A Diaz is an Addiction (Substance Use Disorder) Counselor based in Redlands, CA and is specialized in Addiction (Substance Use Disorder). Audrea A Diaz practices in Redlands, CA. The NPI Number for Audrea A Diaz is 1275744674 and holds a License No. RW0772 (California).

The current practice location address for Audrea A Diaz is 1323 W Colton Ave Ste 100, Redlands, CA and can be reached out via phone at 909-335-7067 and via fax at 909-792-2045.

Location: 1323 W Colton Ave Ste 100, Redlands, CA, 92375-0369
person
Provider Profile Details
NPI Number
1275744674
Provider Name
Audrea A Diaz
Credential
Provider Entity Type
Individual
Gender
Female
Address
1323 W Colton Ave Ste 100, Redlands, CA, 92375-0369
Phone Number
909-335-7067
Fax Number
909-792-2045
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4739 01 CA SIMON STAFF NUMBER
institution
Provider Business Practice Location Address Details
Address
1323 W Colton Ave Ste 100
City
State
Zip
92374-2853
Phone Number
909-335-7067
Fax Number
909-792-2045
person
Provider Business Mailing Address Details
Address
1323 W Colton Ave Ste 100
City
State
Zip
92374-2853
Phone Number
909-335-7067
Fax Number
909-792-2045
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RW0772 (California)
Definition
Definition to come...
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