Diaz, Gerardo Jose

Diaz, Gerardo Jose is an individual health care provider with primary practice located at 455 1St St , Woodland CA 95695-4023. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Diaz, Gerardo Jose can be contacted via phone (530) 662-2211.

Contact Information

Primary practice address
455 1St St Woodland CA 95695-4023
Phone: (530) 662-2211
Fax: (530) 758-8490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 136318 California

Profile Details

NPI number 1245720366
LBN Legal business name Diaz, Gerardo Jose
Credentials AMFT# 136318
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2018
Last updated Dec 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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