Individual
ALFONSO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCDC
Contact information
Practice address
3860 TIERRA CAMPA DR, EL PASO, TX 79938-4372
(915) 549-5197
Mailing address
3860 TIERRA CAMPA DR, EL PASO, TX 79938-4372
(915) 549-5197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10381
TX
1041C0700X
Clinical Social Worker
Primary
52967
TX
Other
Enumeration date
12/21/2009
Last updated
03/20/2014
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