Individual provider · Type 1 NPI

Shannon Diaz, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1376255604 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Call (937) 387-6395 Map

Mailing address

8157 Kingsley Dr
Reynoldsburg, OH 43068-1376

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA186371 (OH)

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

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About NPI 1376255604

Shannon Diaz, CDCA's National Provider Identifier is 1376255604, issued on Dec 19, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jan 30, 2024.