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D.J. (DONALD) JAY DIEBOLD LISAC NPI 1063606705


NPI Information

NPI: 1063606705
Provider Name: D.J. (DONALD) JAY DIEBOLD, LISAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4850 E DESERT COVE AVE UNIT 141
SCOTTSDALE, AZ
ZIP 85254
Phone: (480) 650-1020
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D.j. (donald) Jay Diebold, LISAC is an addiction (substance use disorder) counselor in Scottsdale, AZ. D.j. (donald) Jay Diebold, LISAC NPI is 1063606705. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4850 E DESERT COVE AVE UNIT 141
SCOTTSDALE, AZ
ZIP 85254-392
Phone: (480) 650-1020

The enumeration date for this NPI number is 9/5/2007 and was last updated on 9/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorLISAC-11485ARIZONANo
2101YP2500XCounselorProfessionalLISAC-11485ARIZONANo
3101YA0400XCounselorAddiction (Substance Use Disorder)LISAC-11485ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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