Individual
DANIELLE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
513 W 12TH STREET, SILVER CITY, NM 88061
(575) 538-6805
Mailing address
4208 N DEBBY DR, SILVER CITY, NM 88061-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0443
NM
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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