Individual
CHRISTIIN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TIGNER ST, ANGLETON, TX 77515-4568
(979) 849-2311
Mailing address
101 TIGNER ST, ANGLETON, TX 77515-4568
(979) 849-2311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21948
TX
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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