Individual
MARTINA FRANCISCA DIAZ AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4131
(337) 240-8162
Mailing address
1330 W MCNEESE ST APT 9307, LAKE CHARLES, LA 70605-4519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10924
LA
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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