Individual
MARIA-JOSE FERNANDEZ-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(844) 856-6926
(214) 867-5383
Mailing address
2777 N STEMMONS FREEWAY, MAIL STOP ST4.04-BH, DALLAS, TX 75207
(844) 856-6926
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11759290
CAQH
—
05
—
200440760A
—
KS
01
—
853958
BCBS
KS
Enumeration date
01/23/2007
Last updated
03/23/2021
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