Individual
GIORDANA EVE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
455 N LUMPKIN ST, ATHENS, GA 30601-2744
(706) 369-7911
Mailing address
455 N LUMPKIN ST, ATHENS, GA 30601-2744
(706) 369-7911
(706) 208-9509
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001563
GA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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