Organization
VIRGINIA DIAZ COUNSELING & FAMILY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA LEE DIAZ LMFT, LPC (MEMBER/ORGANIZER)
(910) 546-7647
Entity
Organization
Contact information
Practice address
200 DOCTORS DR STE C, JACKSONVILLE, NC 28546-6308
(910) 546-7647
Mailing address
200 DOCTORS DR STE C, JACKSONVILLE, NC 28546-6308
(910) 546-7647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/26/2019
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