Individual
SUSANA M DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1904 RICHLAND AVE BLDG D, CERES, CA 95307-4562
(209) 525-5715
Mailing address
1904 RICHLAND AVE BLDG D, CERES, CA 95307-4562
(209) 525-5715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
137950
CA
101YP2500X
Professional Counselor
Primary
93103
CA
Other
Enumeration date
06/15/2021
Last updated
04/07/2026
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