Individual
PATRICIA CAROLINA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
1141 W SHAW AVE STE 203, FRESNO, CA 93711-3713
(559) 428-3176
Mailing address
1141 W SHAW AVE STE 203, FRESNO, CA 93711-3713
(559) 428-3176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC15209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APCC15209
BBS
CA
Enumeration date
08/12/2024
Last updated
08/12/2024
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