ANTHONY DIETEL

TARZANA, CA
NPI1902678063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2023-10-23
Last Update Date2025-01-17
Business Address
ANTHONY DIETEL
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
ANTHONY DIETEL
18014 SHERMAN WAY APT 123
RESEDA, CA 91335-4649
Phone number:
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