Individual provider · Type 1 NPI

Diana Stafford, COUNSELOR

Addiction (Substance Use Disorder) Counselor · Costa Mesa, CA

NPI number 1659638039 Active

Practice location

2212 Placentia Ave
Costa Mesa, CA 92627-7500

Fax (949) 646-1211

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC3791214 (CA)

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

3 other providers at this address

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About NPI 1659638039

Diana Stafford, COUNSELOR's National Provider Identifier is 1659638039, issued on Apr 23, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Costa Mesa, CA. The record was last updated on May 8, 2020.