Individual
MS. ANNA LEAH DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
37 N MADISON ST, CORTEZ, CO 81321-3301
(970) 570-3119
Mailing address
PO BOX 382, DOLORES, CO 81323-0382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0013674
CO
Other
Enumeration date
12/17/2012
Last updated
06/03/2025
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