Individual
JAIRO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, CRC
Contact information
Practice address
620 E DIAMOND AVE STE H, GAITHERSBURG, MD 20877-5328
(240) 907-6203
Mailing address
620 E DIAMOND AVE STE H, GAITHERSBURG, MD 20877-5328
(240) 907-6203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10846
MD
Other
Enumeration date
09/30/2020
Last updated
03/02/2023
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