Individual
MRS. BONNELLE ROSE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC, MHP, SUDP
Contact information
Practice address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 232-5766
Mailing address
2208 N ELM ST, SPOKANE, WA 99205-4135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60744063
WA
Other
Enumeration date
12/04/2017
Last updated
11/24/2020
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