Stephanie Diaz

NPI #1679952303 in Grover Beach, California

Provider Information

NPI Number: 1679952303
Entity Type: Individual
Name: Stephanie Diaz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 27, 2015
Last Updated: May 27, 2015

Practice Location

Address: 1520 NICE AVE
City: Grover Beach
State: California
ZIP Code: 93433-2831
Phone: (805) 944-4612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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