Individual
ALEJANDRA T. DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11519 CRENSHAW BLVD, GARDENA, CA 90249
(310) 679-9126
Mailing address
11046 MAIN ST, EL MONTE, CA 91731-2617
(626) 444-9000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1360810819
CA
Other
Enumeration date
09/24/2020
Last updated
05/24/2021
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