Individual
MS. MARY BYERS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1614 JENSON RD, HACKETT, AR 72937-4313
(479) 629-1521
(918) 649-3747
Mailing address
1614 JENSON RD, HACKETT, AR 72937-4313
(479) 629-1521
(918) 649-3747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
06/08/2016
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