Individual
VANESSA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3775 MARTIN WAY E STE A, OLYMPIA, WA 98506-5007
(360) 236-7166
Mailing address
4808 BOSTON HARBOR RD NE, OLYMPIA, WA 98506-1843
(213) 292-3899
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
103383
CA
106H00000X
Marriage & Family Therapist
Primary
IMF103383
CA
Other
Enumeration date
01/04/2018
Last updated
08/26/2024
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