SHANNON DIAZ

DAYTON, OH
NPI1376255604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA186371)
Enumeration Date2022-12-19
Last Update Date2024-01-30
Business Address
SHANNON DIAZ CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 937-387-6395
Mailing Address
SHANNON DIAZ CDCA
8157 KINGSLEY DR
REYNOLDSBURG, OH 43068-1376
Phone number: 614-955-8572
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