Individual
KENIA CARRERA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Mailing address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2021
Last updated
06/27/2024
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