BRETT DIETTINGER
NPI 1245757434
Counselor - Addiction (Substance Use Disorder) in Santa Maria, CA
Active since August 28, 2017
About Brett Diettinger NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRETT DIETTINGER (NPI 1245757434) is an individual addiction (substance use disorder) provider in Santa Maria, California, licensed in California (1335631) and active in the NPI registry since August 2017.
NPPES Registry Identity
NPI1245757434
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRETT DIETTINGER
Location Address1414 S MILLER STSanta Maria, CA 93454-6923
Mailing Address1414 S Miller StSanta Maria, CA 93454-6923 · (805) 739-1512
Phone(805) 739-1512
Sole ProprietorYes
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1245757434 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 1335631
1414 S MILLER ST, Santa Maria, CA 93454
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dentist (Pediatric Dentistry)
1414 S MILLER ST, SUITE J
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
Physician Assistant (Medical)
1414 S MILLER ST, SUITE B
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
Family Medicine
1414 S MILLER ST, SUITE 9
SANTA MARIA, CA 93454
SANTA MARIA, CA 93454
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245757434, enumerated as an "individual" on August 28, 2017.
The provider is located at 1414 S MILLER ST SANTA MARIA, CA 93454 and the phone number is (805) 739-1512.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
