Individual
ERIBERTO GUADALUPE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 W 1ST AVE, TOPPENISH, WA 98948-1527
(509) 865-5233
(509) 865-6505
Mailing address
PO BOX 366, TOPPENISH, WA 98948-0366
(509) 865-5233
(509) 865-6505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61417062
WA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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