Individual
MS. ANNISA MARIA DIAZ-DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
47 CHURCH ST, LAKE ZURICH, IL 60047-1563
(847) 367-5991
Mailing address
11716A PINE WAY, HUNTLEY, IL 60142-7316
(630) 400-6726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-005814
IL
Other
Enumeration date
01/18/2007
Last updated
03/21/2024
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