person
Richard Allan Diwald, RAS
Addiction (Substance Use Disorder) Counselor in Lakeport, California
NPI 1861558678

Richard Allan Diwald is an Addiction (Substance Use Disorder) Counselor based in Upper Lake, CA and is specialized in Addiction (Substance Use Disorder). Richard Allan Diwald practices in Lakeport, CA and has the professional credentials of RAS. The NPI Number for Richard Allan Diwald is 1861558678 and holds a License No. D0412282000 (California).

The current practice location address for Richard Allan Diwald is 991 Parallel Dr, Lakeport, CA and can be reached out via phone at 707-263-8162 and via fax at 707-263-9336.

Location: 991 Parallel Dr, Lakeport, CA, 95485-9572
person
Provider Profile Details
NPI Number
1861558678
Provider Name
Richard Allan Diwald
Credential
RAS
Provider Entity Type
Individual
Gender
Male
Address
991 Parallel Dr, Lakeport, CA, 95485-9572
Phone Number
707-263-8162
Fax Number
707-263-9336
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
991 Parallel Dr
City
State
Zip
95453-5720
Phone Number
707-263-8162
Fax Number
707-263-9336
person
Provider Business Mailing Address Details
Address
991 Parallel Dr
City
State
Zip
95453-5720
Phone Number
707-263-8162
Fax Number
707-263-9336
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
D0412282000 (California)
Definition
Definition to come...
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