Individual provider · Type 1 NPI

Diane Ellen Shaw, CADAC LL

Addiction (Substance Use Disorder) Counselor · Santa Ana, CA

NPI number 1225698954 Active

Practice location

1950 E 17th St
Santa Ana, CA 92705-6852

Call (714) 547-4300 Map

Fax (714) 547-2109

Mailing address

17261 Gothard St Spc 9
Huntington Beach, CA 92647-5454

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA014670315 (CA)

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

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About NPI 1225698954

Diane Ellen Shaw, CADAC LL's National Provider Identifier is 1225698954, issued on Jun 14, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Jun 14, 2019.