Provider Demographics
NPI:1013380468
Name:DIGGINS, KAREN (CADC I)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:DIGGINS
Suffix:
Gender:F
Credentials:CADC I
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:DIGGINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CADC I
Mailing Address - Street 1:12890 QUINTA WAY
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-4852
Mailing Address - Country:US
Mailing Address - Phone:760-329-2959
Mailing Address - Fax:760-329-2953
Practice Address - Street 1:12890 QUINTA WAY
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-4852
Practice Address - Country:US
Practice Address - Phone:760-329-2959
Practice Address - Fax:760-329-2953
Is Sole Proprietor?:No
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR11451214101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)