Individual
VANESSA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8271 SW 35TH TER, MIAMI, FL 33155-3344
(305) 397-3733
Mailing address
13620 SW 101ST LN, MIAMI, FL 33186-2814
(786) 205-0227
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT4290
FL
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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