PROF. Lourdes M. Diaz, LPC, CAC III
NPI #1215112123 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1215112123
- Entity Type
- Individual
- Name
- PROF. Lourdes M. Diaz, LPC, CAC III
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, CAC III
- Enumeration Date
- Jan 9, 2008
- Last Updated
- Sep 21, 2009
Practice Location
- Address
- 1650 COCHRANE CIR
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4603
- Phone
- (719) 526-1418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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