JESSICA DIAZ LCPC, CCMHC
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1184282303- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCPC, CCMHC
- Status
- Active
Contact & Location
- Address
- 2524 W CERULEAN DR, KUNA, ID, 836343488
- Phone
- (208) 813-4431
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #LCPC-8096