Individual
DIANNE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HARBOR BLVD, BELMONT, CA 94002-4018
(650) 380-6149
(650) 952-5846
Mailing address
300 HARBOR BLVD, BELMONT, CA 94002-4018
(650) 380-6149
(650) 952-5846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
07/21/2022
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