Individual
CAROLINA TERESA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4225 FOX ST. PART 209, ORLANDO, FL 32814
(407) 278-2338
(407) 278-2338
Mailing address
821 HERNDON AVE # 141066, ORLANDO, FL 32803-8501
(407) 278-2338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11466
FL
Other
Enumeration date
08/25/2009
Last updated
09/23/2020
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