Individual
YESENIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 BLENHEIM BLVD STE 23A, FAIRFAX, VA 22030-2432
(703) 259-5617
Mailing address
3103 ADAMS ST, WOODBRIDGE, VA 22193-1206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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