Individual
MR. ABRAHAM HERIBERTO DIAZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4502 MIMS AVE, LAREDO, TX 78041-3552
(956) 229-0780
Mailing address
4502 MIMS AVE, LAREDO, TX 78041-3552
(956) 229-0780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16698
TX
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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