Individual
MISS DENISSE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2777 SOUTH ST. SUITE Y, SAN LUIS OBISPO, CA 93406
(805) 781-4851
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 781-4851
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051
SAN LUIS OBISPO COUNTY
CA
01
—
3299
SAN TA BARBARA COUNTY
CA
Enumeration date
02/15/2007
Last updated
09/11/2025
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