MR. JUSTIN CRAWFORD DIEHL (NPI# 1194374850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194374850 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN CRAWFORD DIEHL |
| Credential | LADC |
| Practice Address |
976 Juno Avenue Saint Paul MN 55102 |
| Mailing Address |
1043 Grand Avenue #133 Saint Paul MN 55105 |
| Practice Telephone | 6513369256 |
| Mailing Telephone | 6513369256 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302571 | MN | Behavioral Health & Social Service Providers |
| Street Address |
976 JUNO AVENUE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| 1962824342 | Denise Williams | Marriage & Family Therapist | 235 5th St W, Saint Paul, MN 55102 | 2014-01-20 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1629683388 | Family Recovery Resource Experts LLC | Counselor | 311 Ramsey St Ste 206, Saint Paul, MN 55102-2323 | 2020-09-10 |
| 1811508120 | Damaris Axelson | Counselor | 69 Exchange St W # G700, Saint Paul, MN 55102-1004 | 2020-08-11 |
| 1366051344 | Carrie Lois Sorenson | Counselor | 1618 Dayton Ave, Saint Paul, MN 55104-6207 | 2020-07-27 |
| 1104452564 | Heather Thurmes | Counselor | 555 7th St W Ste 302, Saint Paul, MN 55102-3068 | 2020-03-18 |
| 1396377206 | Gail Weiss | Counselor | 1821 University Ave W Ste 333, Saint Paul, MN 55104-2895 | 2020-02-08 |
| 1104456573 | Sarah Ann Licari | Counselor | 455 Etna St, Saint Paul, MN 55106-5859 | 2020-01-24 |
| 1881230134 | Gregory John Robertson | Counselor | 1380 Energy Ln Ste 203, Saint Paul, MN 55108-5253 | 2019-11-21 |
| 1225671415 | Sukimo Dolores Knight | Counselor | 1606 Westminster St # 312, Saint Paul, MN 55130-3036 | 2019-10-21 |
| 1932764701 | Lotus Recovery, LLC | Counselor | 1 Water St W # 240, Saint Paul, MN 55107-2002 | 2019-05-07 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on MR. JUSTIN CRAWFORD DIEHL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.