Individual
GRACE JACINTO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
619 W WALNUT ST, MILWAUKEE, WI 53212-3839
(414) 810-3548
(414) 266-3735
Mailing address
619 W WALNUT ST, MILWAUKEE, WI 53212-3839
(414) 810-3548
(414) 266-3735
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11561-125
WI
101YP2500X
Professional Counselor
Primary
7469-226
WI
Other
Enumeration date
09/19/2023
Last updated
02/11/2026
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