Individual
GUADALUPE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 LEXINGTON AVE, NORTH PROVIDENCE, RI 02904-3116
(401) 753-3002
Mailing address
236 LEXINGTON AVE, NORTH PROVIDENCE, RI 02904-3116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01097
RI
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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