Individual
MR. EDGARDO NONE DIAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CAADC
Contact information
Practice address
4133A FIR ST SW, MCCHORD AFB, WA 98439-1612
(610) 655-5342
(610) 655-5342
Mailing address
4133A FIR ST SW, MCCHORD AFB, WA 98439-1612
(610) 655-5342
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP.CP.70098211.PORT
WA
Other
Enumeration date
08/28/2025
Last updated
04/20/2026
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