Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Diaz, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376255604

Shannon Diaz, CDCA is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone: (937) 387-6395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA186371 (OH)

Record details

NPI number1376255604
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

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