Healthcare Provider Details

I. General information

NPI: 1699828046
Provider Name (Legal Business Name): DIANE DADAMI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 OAK GROVE RD STE 11
CONCORD CA
94518-3253
US

IV. Provider business mailing address

2400 LISA LN
PLEASANT HILL CA
94523-3902
US

V. Phone/Fax

Practice location:
  • Phone: 925-682-8000
  • Fax:
Mailing address:
  • Phone: 925-260-3638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: