Individual
MRS. GRACE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
5004 ALAMEDA AVE, EL PASO, TX 79905-2804
(915) 772-2045
(915) 772-7275
Mailing address
5004 ALAMEDA AVE, EL PASO, TX 79905-2804
(915) 772-2045
(915) 772-7275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10420
TX
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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