Diane E Campion, SASII, CAS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Weaverville, CA
NPI 1609916675 · NPPES record last updated Oct 9, 2008
Key facts
- NPI
- 1609916675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 03-046129 (CA)
- Practice address
- 1450 Main St
Weaverville, CA 96093-1640 - Phone
- (530) 623-5678
- Fax
- (530) 623-4448
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03-046129 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 03-046129 | CA | Yes |
Addresses
Primary practice location
1450 Main St
Weaverville, CA 96093-1640
Mailing address
PO Box 1640
Weaverville, CA 96093-1640
Phone (530) 623-1362
Other providers in Weaverville, CA
- Megan Michelle Blanchard
- Nicole Hays Bradford
- Thomas Bradford
- Rob Edward Breazeale
- Jennifer Kay Cameron
- Frederick Reese Carlin Jr.
- Trojan Austria Carvajal
- Melinda Cary
- Sherry Ivana Chandler
- Nancy Chapman
All providers in Weaverville, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.