Emerson Nicolas Diaz, MS, NCC, LPC

NPI #1134704737 in Mendenhall, Mississippi

Provider Information

NPI Number: 1134704737
Entity Type: Individual
Name: Emerson Nicolas Diaz, MS, NCC, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Pastoral
Credential: MS, NCC, LPC
Enumeration Date: Mar 15, 2021
Last Updated: Jul 17, 2024

Practice Location

Address: 3112 SIMPSON HIGHWAY 13
City: Mendenhall
State: Mississippi
ZIP Code: 39114-3076
Phone: (601) 622-3056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X	Primary
Counselor - Professional — Professional	101YP2500X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Marriage & Family Therapist	106H00000X

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