Individual
BRENDA MIREYA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 TECHNOLOGY CT STE 300, RIVERSIDE, CA 92507-2156
(951) 686-8500
Mailing address
555 TECHNOLOGY CT STE 300, RIVERSIDE, CA 92507-2156
(951) 686-8500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
15650
CA
Other
Enumeration date
10/18/2018
Last updated
02/26/2026
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