DIANE MADRIGAL CAODC-A M-RAS CCDS NPI 1356830095

NPI Information

  • NPI: 1356830095
  • Provider Name: DIANE MADRIGAL, CAODC-A, M-RAS, CCDS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2245 CHALLENGER WAY STE 100
    SANTA ROSA, CA
    ZIP 95407
  • Phone: (707) 565-6963

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NPI Details

Diane Madrigal, CAODC-A, M-RAS, CCDS is an addiction (substance use disorder) counselor in Santa Rosa, CA. Diane Madrigal, CAODC-A, M-RAS, CCDS NPI is 1356830095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2245 CHALLENGER WAY STE 100
SANTA ROSA, CA
ZIP 95407-418
Phone: (707) 565-6963

The enumeration date for this NPI number is 5/8/2018 and was last updated on 2/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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