Individual
ANDREA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 E 4TH ST, SANTA ANA, CA 92705-3818
(714) 543-5437
Mailing address
2130 E 4TH ST, SANTA ANA, CA 92705-3818
(714) 543-5437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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