Individual
GABRIELLA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, LAPC
Contact information
Practice address
6 EASTWOOD CT, NEWNAN, GA 30265-1305
(315) 408-7595
Mailing address
1952 HIGHWAY 54 W STE 100, PEACHTREE CITY, GA 30269-4760
(770) 742-0790
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC010095
GA
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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