Individual provider · Type 1 NPI

Tedra Diaz, RADT

Addiction (Substance Use Disorder) Counselor · Huntington Beach, CA

NPI number 1275400392 Active

Practice location

17822 Beach Blvd Ste 278
Huntington Beach, CA 92647-7180

Call (714) 375-3795 Map

Fax (714) 375-3796

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1609870425 (CA)

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

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About NPI 1275400392

Tedra Diaz, RADT's National Provider Identifier is 1275400392, issued on Oct 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Huntington Beach, CA. The record was last updated on Oct 22, 2025.