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Individual
D.J. (DONALD) JAY DIEBOLD
Active
Individual
D.J. (DONALD) JAY DIEBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LISAC-11485
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11485
AZ
101YP2500X
Professional Counselor
LISAC-11485
AZ
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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