Diaz, Jennifer
Diaz, Jennifer is an sole proprietor health care provider with primary practice located at 632 Maitland Ave , Altamonte Springs FL 32701-6834. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Diaz, Jennifer can be contacted via phone (407) 875-5704.Contact Information
Primary practice address
632 Maitland Ave
Altamonte Springs FL 32701-6834
Phone: (407) 875-5704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMT3002 | Florida |
Profile Details
| NPI number | 1548876196 |
|---|---|
| LBN Legal business name | Diaz, Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2020 |
| Last updated | Sep 18th, 2020 - about 6 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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