Individual
BRETT DIETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 S MILLER ST, SANTA MARIA, CA 93454-6923
(805) 739-1512
Mailing address
1414 S MILLER ST, SANTA MARIA, CA 93454-6923
(805) 739-1512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1335631
CA
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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