Individual provider · Type 1 NPI

Anthony Dietel

Addiction (Substance Use Disorder) Counselor · Tarzana, CA

NPI number 1902678063 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Mailing address

18014 Sherman Way Apt 123
Reseda, CA 91335-4649

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1902678063

Anthony Dietel's National Provider Identifier is 1902678063, issued on Oct 23, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tarzana, CA. The record was last updated on Jan 17, 2025.