Diana Ahumada
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fairfield, CA
NPI 1669907234 · NPPES record last updated Apr 20, 2017
Key facts
- NPI
- 1669907234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1735 Enterprise Dr
Building 1 Suite 105 a
Fairfield, CA 94533-6822 - Phone
- (707) 425-1799
- NPI assigned
- Apr 20, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1735 Enterprise Dr
Building 1 Suite 105 a
Fairfield, CA 94533-6822
Mailing address
1735 Enterprise Dr
Building 1 Suite 105 a
Fairfield, CA 94533-6822
Other providers in Fairfield, CA
- Maria Aguiniga
- Melisa Aguirre
- Chinonso Ahamefule
- Yusuf Haroon Ahmad
- Sumera Ahmed
- Kasey K Aikens
- Air Force
- Syamala R. Aiyar
- Manuel Schetar Akoto
- Mounzer B. Al Samman
All providers in Fairfield, 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 Apr 20, 2017. 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.