Individual
KIANA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 W WEST COVINA PKWY, WEST COVINA, CA 91790-2815
(626) 974-0770
Mailing address
1215 W WEST COVINA PKWY, WEST COVINA, CA 91790-2815
(626) 974-0770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/11/2023
Last updated
07/18/2023
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