Individual provider · Type 1 NPI
D.j. (donald) Jay Diebold, LISAC
Addiction (Substance Use Disorder) Counselor · Scottsdale, AZ
NPI number
1063606705
Active
Practice location
4850 E Desert Cove Ave Unit 141
Scottsdale, AZ 85254-5392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LISAC-11485 (AZ) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-11485 (AZ) |
| Professional Counselor | 101YP2500X | LISAC-11485 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1063606705
D.j. (donald) Jay Diebold, LISAC's National Provider Identifier is 1063606705, issued on Sep 5, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Scottsdale, AZ. The record was last updated on Sep 5, 2007.