Individual
DESIREE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4425 E AGAVE RD STE 106, PHOENIX, AZ 85044-0620
(602) 830-2004
Mailing address
4425 E AGAVE RD STE 106, PHOENIX, AZ 85044-0620
(602) 830-2004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16991
AZ
Other
Enumeration date
08/12/2018
Last updated
05/05/2026
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