Individual
MS. JESSICA M DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER OF ARTS
Contact information
Practice address
132 MANSFIELD AVE, WILLIMANTIC, CT 06226-2027
(860) 456-2261
Mailing address
132 MANSFIELD AVE, WILLIMANTIC, CT 06226-2027
(860) 456-2261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
11/17/2008
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