Individual
ESTEPHANI DIAZ HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
10 LANIDEX PLZ W STE 120, PARSIPPANY, NJ 07054-0221
(862) 356-6059
(973) 363-9616
Mailing address
79 ASHLAND AVE APT 1, WEST ORANGE, NJ 07052-5490
(347) 615-9521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00805500
NJ
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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