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Individual
JOSE LUIS DIAZ
Active
Individual
JOSE LUIS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
18642
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
18642
NY
101YM0800X
Mental Health Counselor
Primary
18642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18642
—
NY
Enumeration date
04/06/2007
Last updated
09/11/2025
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