Individual
SARA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3220 W INA RD APT 19106, TUCSON, AZ 85741-2173
(480) 773-3835
Mailing address
3220 W INA RD APT 19106, TUCSON, AZ 85741-2173
(480) 773-3835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18963
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-18963
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
08/16/2020
Last updated
08/16/2020
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