Individual
TAMARA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5730 BROOKHAVEN DR, CALEDONIA, WI 53406-1132
(262) 930-7448
Mailing address
5730 BROOKHAVEN DR, CALEDONIA, WI 53406-1132
(262) 930-7448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SL07348500
NJ
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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