Individual
MS. AMY MARIE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
100 N ATKINSON RD STE 106, GRAYSLAKE, IL 60030-7805
(224) 513-1089
(847) 556-6535
Mailing address
100 N ATKINSON RD STE 106, GRAYSLAKE, IL 60030-7805
(224) 513-1089
(847) 556-6535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
178011979
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
101YM0800X
Mental Health Counselor
Primary
178011979
IL
101YM0800X
Mental Health Counselor
Primary
—
IL
101YP2500X
Professional Counselor
—
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/13/2013
Last updated
05/06/2026
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