person
Daniel Raul Diaz
Addiction (Substance Use Disorder) Counselor in San Bernardino, California
NPI 1700465507

Daniel Raul Diaz is an Addiction (Substance Use Disorder) Counselor based in San Bernardino, CA and is specialized in Addiction (Substance Use Disorder). Daniel Raul Diaz practices in San Bernardino, CA. The NPI Number for Daniel Raul Diaz is 1700465507 and holds a License No. 10956 (California).

The current practice location address for Daniel Raul Diaz is 820 E Gilbert St, San Bernardino, CA and can be reached out via phone at 909-386-8510 and via fax at 909-387-7757.

Location: 820 E Gilbert St, San Bernardino, CA, 92415-0928
person
Provider Profile Details
NPI Number
1700465507
Provider Name
Daniel Raul Diaz
Credential
Provider Entity Type
Individual
Gender
Male
Address
820 E Gilbert St, San Bernardino, CA, 92415-0928
Phone Number
909-386-8510
Fax Number
909-387-7757
Provider Enumeration Date
04/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8048 05 CA
institution
Provider Business Practice Location Address Details
Address
820 E Gilbert St
City
State
Zip
92415-2316
Phone Number
909-386-8510
Fax Number
909-387-7757
person
Provider Business Mailing Address Details
Address
820 E Gilbert St
City
State
Zip
92415-2316
Phone Number
909-386-8510
Fax Number
909-387-7757
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10956 (California)
Definition
Definition to come...
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