Provider Demographics
NPI:1740973395
Name:DIGGS, BYRON JR (ASW)
Entity type:Individual
Prefix:
First Name:BYRON
Middle Name:
Last Name:DIGGS
Suffix:JR
Gender:M
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5417 PACER VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-4304
Mailing Address - Country:US
Mailing Address - Phone:661-412-7611
Mailing Address - Fax:
Practice Address - Street 1:5417 PACER VALLEY CT
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-4304
Practice Address - Country:US
Practice Address - Phone:661-412-7611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104850104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker