Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIVINA LIZA BAHAM
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · SANTA MONICA, CA
Registration Details
- NPI Number
- 1104345990
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2017 (8.6674842018514 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
909 PICO BLVDSANTA MONICA, CA, 904051326Browse CA providers · Browse ZIP 90405
- Phone
- 3103146200
- Fax
- 3104502024
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| DANIEL DAVID GEORGE | MPH | 1740407444 |
| DARLENE GUTIERREZ | — | 1063632230 |
| MS. DELOIS PENELOPE JOHNSON | — | 1790977981 |
| PAUL LEON JEFFERSON | — | 1043521362 |
| DEBRA LEE POORMAN | — | 1043596612 |
| LUCILLE I SIPERT | — | 1619238920 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.