Holly Diaz-Bach in Modesto - Addiction (substance Use Disorder)
Holly Diaz-Bach - NPI 1649474164
Holly Diaz-Bach is a Addiction (substance Use Disorder) in Modesto, California. Holly Diaz-Bach practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Holly Diaz-Bach is 1649474164. The last update date is 2007-07-08.
Holly Diaz-Bach's current location address is 1116 Alice St, Modesto, California. You can contact this provider via phone number 2095783132 and fax number 2095799605. The mailing address for Holly Diaz-Bach is 1116 Alice St, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Diaz-Bach |
|---|---|
| Address | 1116 Alice St, Modesto, California |
| Phone Number | 2095783132 |
| Fax Number | 2095799605 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649474164 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1116 Alice St |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953505905 |
| Phone Number | 2095783132 |
| Fax Number | 2095799605 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 0 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101YA0404OX | CA | ADDICTION COUNSELOR |
Post Comment/ Review Below
What is the unique provider identifier assigned to Holly Diaz-Bach?
The Holly Diaz-Bach has been issued the NPI (National Provider Identifier) 1649474164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Holly Diaz-Bach's physical address?
The Holly Diaz-Bach is physically located at 1116 Alice St, in the city of Modesto, CA, with the postal code 953505905.
What is Holly Diaz-Bach's specialized field of practice, and what is the corresponding taxonomy classification code?
The Holly Diaz-Bach's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
When was the Holly Diaz-Bach's 1649474164 issued?
The Holly Diaz-Bach's 1649474164 was issued on 2007-06-11.
As of what date was the information pertaining to Holly Diaz-Bach, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Holly Diaz-Bach, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.