Individual
MR. JUAN CARLOS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
33 GUY LOMBARDO AVE, H.E.L.P. SERVICES, FREEPORT, NY 11520-3637
(516) 546-2822
(516) 546-5051
Mailing address
368 BEECH ST, SOUTH HEMPSTEAD, NY 11550-7746
(516) 902-4629
(718) 264-4188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24671
NY
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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