Jennah Marie Diaz, MS

NPI #1770234924 in Alton, Illinois

Provider Information

NPI Number: 1770234924
Entity Type: Individual
Name: Jennah Marie Diaz, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MS
Enumeration Date: Jan 10, 2022
Last Updated: Jun 20, 2024

Practice Location

Address: 2615 EDWARDS ST
City: Alton
State: Illinois
ZIP Code: 62002-3915
Phone: (618) 462-2331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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