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NPI Code Detail

MEDICARE: DIANE MCNEAL

MEDICARE: DIANE MCNEAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3106H00000XMarriage & Family Therapist88909CA
4171M00000XCase Manager/Care Coordinator
5225400000XRehabilitation PractitionerCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619196540
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE MCNEAL
Provider Business Mailing Address
First Line : 37744 VINTAGE DR
Second Line :
City : PALMDALE
State : CA
Zip : 93550-7021
Country : US
Telephone Number : 323-326-0860
Fax Number :
Provider Business Practice Location Address
First Line : 44443 10TH ST W
Second Line :
City : LANCASTER
State : CA
Zip : 93534-3346
Country : US
Telephone Number : 661-726-2630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 05/08/2025

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