Individual
C DIANE COLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
3659 PEDLEY AVE, NORCO, CA 92860-1597
(951) 283-3967
Mailing address
1221 OAKCREST CIR, CORONA, CA 92882-8727
(714) 883-5653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
071405
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CI23910518
CA
Other
Enumeration date
07/19/2018
Last updated
06/11/2019
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