Individual provider · Type 1 NPI

Connie Dette Diwa

Mental Health Counselor · San Leandro, CA

NPI number 1649725490 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Call (510) 317-1445 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XASW 66655 (CA)
Mental Health Counselor Primary 101YM0800XASW 66655 (CA)
Social Worker 104100000XASW 66655 (CA)

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About NPI 1649725490

Connie Dette Diwa's National Provider Identifier is 1649725490, issued on Aug 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Aug 22, 2016.