Provider Demographics
NPI:1649601584
Name:DUGGER, DIANNA
Entity type:Individual
Prefix:
First Name:DIANNA
Middle Name:
Last Name:DUGGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HAVERHILL RD
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-4746
Mailing Address - Country:US
Mailing Address - Phone:623-888-8423
Mailing Address - Fax:
Practice Address - Street 1:12 HAVERHILL RD
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-4746
Practice Address - Country:US
Practice Address - Phone:623-888-8423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19999101YP2500X
CO0013555101YP2500X
CA18822101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional