Individual provider · Type 1 NPI
Justin Crawford Diehl, LADC
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1194374850
Active
Practice location
976 Juno Avenue
St. Paul, MN 55102
Mailing address
1043 Grand Avenue #133
St. Paul, MN 55105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302571 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1194374850
Justin Crawford Diehl, LADC's National Provider Identifier is 1194374850, issued on Sep 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Sep 5, 2019.