Individual provider · Type 1 NPI

Mariena White Dove Diaz

Addiction (Substance Use Disorder) Counselor · Thermal, CA

NPI number 1043137094 Active

Practice location

83385 Rosa Ave
Thermal, CA 92274-9506

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043137094

Mariena White Dove Diaz's National Provider Identifier is 1043137094, issued on Jul 1, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Thermal, CA. The record was last updated on Jul 1, 2026.