Individual
ELIZABETH DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC, NCC
Contact information
Practice address
3060 WILLIAMS DR STE 300, FAIRFAX, VA 22031-4648
(571) 609-3507
Mailing address
8500 LAKINHURST LN, SPRINGFIELD, VA 22152-1727
(571) 609-3507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010366
VA
Other
Enumeration date
11/19/2020
Last updated
04/28/2025
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