| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DIAMOND SMALL | 1235860180 | 2022-08-14 |
Diamond Small is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1235860180. Registration indicates Diamond Small is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Diamond Small |
| Practice Office Address | 995 GATEWAY CENTER WAY STE 300 SAN DIEGO, CA US |
| Practice Office Telephone | 6193982156 |
| Mailing Address | 995 GATEWAY CENTER WAY STE 300 SAN DIEGO, CA 921024550 US |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | |
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |