Individual provider · Type 1 NPI

Dianne Shaw

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1730743253 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Call (310) 519-8723 Map

Mailing address

10425 Painter Ave
Santa Fe Springs, CA 90670-3429

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1911768 (CA)

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

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About NPI 1730743253

Dianne Shaw's National Provider Identifier is 1730743253, issued on Apr 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Jul 3, 2024.