Individual provider · Type 1 NPI
Mary Kathleen Diekmann
Addiction (Substance Use Disorder) Counselor · Sun Valley, CA
NPI number
1629635388
Active
Practice location
8140 Sunland Blvd
Sun Valley, CA 91352-3948
Fax (818) 582-8836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629635388
Mary Kathleen Diekmann's National Provider Identifier is 1629635388, issued on May 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sun Valley, CA. The record was last updated on May 28, 2019.