Individual
NICOLE DIETERICH RUIZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
29 W 36TH ST FL 5, NEW YORK, NY 10018-7671
(917) 740-7199
Mailing address
29 W 36TH ST FL 5, NEW YORK, NY 10018-7671
(917) 740-7199
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001628
NY
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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