Individual
D.J. (DONALD) JAY DIEBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
4850 E DESERT COVE AVE UNIT 141, SCOTTSDALE, AZ 85254-5392
(480) 650-1020
Mailing address
4850 E DESERT COVE AVE UNIT 141, SCOTTSDALE, AZ 85254-5392
(480) 650-1020
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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