Individual
JULIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
8631 DELMAR BLVD, SAINT LOUIS, MO 63124-1990
(314) 787-5100
(314) 754-2800
Mailing address
4485 WESTMINSTER PL, SAINT LOUIS, MO 63108-1812
(314) 610-8477
(314) 535-6632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3077
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23726797209
—
NE
Enumeration date
11/22/2006
Last updated
02/07/2012
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