Individual provider · Type 1 NPI

Carl Dahlstrom

Addiction (Substance Use Disorder) Counselor · Blythe, CA

NPI number 1316484819 Active

Practice location

1297 W Hobsonway
Blythe, CA 92225-1423

Mailing address

9826 18th Ave
Blythe, CA 92225-9229

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XCICA01710819 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1316484819

Carl Dahlstrom's National Provider Identifier is 1316484819, issued on Jan 23, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Blythe, CA. The record was last updated on Nov 27, 2024.