Individual
JENNIFER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11414 W CENTER RD STE 140, OMAHA, NE 68144-4487
(402) 238-4380
Mailing address
4906 SIGWART AVE, OMAHA, NE 68104
(402) 238-4380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10155
NE
Other
Enumeration date
03/25/2016
Last updated
12/18/2018
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