Individual
ANGELA ANACAONA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
854 JACKSON AVE APT 5A, BRONX, NY 10456-7920
(646) 427-6639
Mailing address
854 JACKSON AVE APT 5A, BRONX, NY 10456-7920
(646) 427-6639
(929) 286-9778
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
013859
NY
Other
Enumeration date
01/21/2021
Last updated
04/19/2024
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