Dudek, Diane Kathryn

Dudek, Diane Kathryn is an sole proprietor health care provider with primary practice located at 1278 N Eastbury Ave , Covina CA 91722-1481. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Dudek, Diane Kathryn can be contacted via phone (951) 710-4156.

Contact Information

Primary practice address
1278 N Eastbury Ave Covina CA 91722-1481
Phone: (951) 710-4156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A05190315 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT152296 California

Profile Details

NPI number 1326304734
LBN Legal business name Dudek, Diane Kathryn
Credentials AMFT, CADC-II, ICADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2012
Last updated May 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326304734 NPPES
Other A05190315 CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS
Other AMFT152296 CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS

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