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Organization
VISTA MENTAL HEALTH COUNSELING, PLLC
Active
Organization
VISTA MENTAL HEALTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL E DIAZ LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(518) 290-7988
Entity
Organization
Contact information
Practice address
636 PLANK RD, CLIFTON PARK, NY 12065
(518) 290-7988
Mailing address
636 PLANK RD, CLIFTON PARK, NY 12065-2046
(518) 290-7988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005534
NY
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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