Jessica Diaz, LCPC, NCC, ICADC

NPI #1184282303 in Kuna, Idaho

Provider Information

NPI Number: 1184282303
Entity Type: Individual
Name: Jessica Diaz, LCPC, NCC, ICADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCPC, NCC, ICADC
Enumeration Date: Jun 3, 2019
Last Updated: May 13, 2021

Practice Location

Address: 711 E PORTER ST
City: Kuna
State: Idaho
ZIP Code: 83634-1484
Phone: (208) 813-4431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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