DIANE ELLEN SHAW

SANTA ANA, CA
NPI1225698954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A014670315)
Enumeration Date2019-06-14
Last Update Date2019-06-14
Business Address
DIANE ELLEN SHAW CADAC ll
1950 E 17TH ST
SANTA ANA, CA 92705-6852
Phone number: 714-547-4300
Mailing Address
DIANE ELLEN SHAW CADAC ll
17261 GOTHARD ST SPC 9
HUNTINGTON BEACH, CA 92647-5454
Phone number: 714-604-5281
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