Individual
BIANCA DESIREE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
1919 NW LOOP 410, SAN ANTONIO, TX 78213-2307
(210) 733-7117
(210) 733-7118
Mailing address
1919 NW LOOP 410, SAN ANTONIO, TX 78213-2307
(210) 733-7117
(210) 733-7118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
86389
TX
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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