Individual provider · Type 1 NPI

Donnie Scott Vandiver

Addiction (Substance Use Disorder) Counselor · Stanton, CA

NPI number 1275428823 Active

Practice location

10936 Dale Ave
Stanton, CA 90680-2724

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1584281024 (CA)

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

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About NPI 1275428823

Donnie Scott Vandiver's National Provider Identifier is 1275428823, issued on Jun 12, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stanton, CA. The record was last updated on Jun 12, 2025.