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Individual
MR. DAVID WAYNE DEICHLER
Active
Individual
MR. DAVID WAYNE DEICHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDCCII, CSC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
D0710311220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9195
SUBSTANCE USE DISORDER CERTIFIED COUNSELOR II
CA
01
—
D0710311220
CLINICAL SUPERVISOR CREDENTIAL
CA
Enumeration date
08/13/2012
Last updated
01/07/2020
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