Individual
JESSICA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CCMHC
Contact information
Practice address
2524 W CERULEAN DR, KUNA, ID 83634-3488
(208) 813-4431
Mailing address
2524 W CERULEAN DR, KUNA, ID 83634-3488
(208) 813-4431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-8096
ID
Other
Enumeration date
06/03/2019
Last updated
03/01/2026
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