Individual
IMER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 N ADAMS ST, SPOKANE, WA 99205-4322
(509) 951-4346
Mailing address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 325-5502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CO60178687
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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