Individual
JENNIFER DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, EDS
Contact information
Practice address
644 MANOR RD, BEVERLY, NJ 08010-1057
(215) 391-6325
Mailing address
644 MANOR RD, BEVERLY, NJ 08010-1057
(215) 391-6325
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00944300
NJ
Other
Enumeration date
03/09/2021
Last updated
10/17/2024
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