# SOL Y LUNA MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740901404
- **Authorized official:** CLAUDIA DIAZ LMFT (OWNER)
- **Authorized official phone:** (209) 665-4133

## Contact information

- **Practice address:** 138 N GRANT AVE, MANTECA, CA 95336-4601
- **Practice address phone:** (209) 665-4133
- **Mailing address:** 138 N GRANT AVE, MANTECA, CA 95336-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2022
- **Last updated:** 09/09/2022