Individual
ROBERT DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CADC, CRS, CFRS,
Contact information
Practice address
1262 WOOD LN STE 102, LANGHORNE, PA 19047-4250
(267) 358-5150
Mailing address
PO BOX 34, WOMELSDORF, PA 19567-0034
(484) 525-9832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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