Individual
JACLYN DIAZ-PICCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC LPC
Contact information
Practice address
2500 S POWER RD STE 120, MESA, AZ 85209-6688
(480) 203-9653
Mailing address
690 E WARNER RD #115, GILBERT, AZ 85296
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-18790
AZ
Other
Enumeration date
12/14/2016
Last updated
03/19/2020
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