Diaz, Jessica

Diaz, Jessica is an individual health care provider with primary practice located at 105 Bertha Rd Ste B , Taos NM 87571. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Diaz, Jessica can be contacted via phone (505) 758-4297.

Contact Information

Primary practice address
105 Bertha Rd Ste B Taos NM 87571
Phone: (505) 758-4297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1003130279
LBN Legal business name Diaz, Jessica
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2010
Last updated Aug 16th, 2024 - about 2 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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