DOUGLAS BRIAM DIAZ

MURRIETA, CA
NPI1649708793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  rii5751116)
Enumeration Date2017-06-01
Last Update Date2017-06-01
Business Address
DOUGLAS BRIAM DIAZ RADT II
40700 CALIFORNIA OAKS RD
MURRIETA, CA 92562-5795
Phone number: 951-894-5072
Mailing Address
DOUGLAS BRIAM DIAZ RADT II
2088 E LAKESHORE DR APT 715
LAKE ELSINORE, CA 92530-4490
Phone number: