Individual
ALEXIS M DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
781 CIARA CREEK CV STE 1011, LONGWOOD, FL 32750-4662
(407) 699-5824
Mailing address
469 BLACK KNIGHT WAY, LONGWOOD, FL 32779-4467
(786) 316-7952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22075
FL
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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