Quilantan Diaz, Maria C

Quilantan Diaz, Maria C is an sole proprietor health care provider with primary practice located at 5420 S. Jackson Rd , Edinburg TX 78539. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Quilantan Diaz, Maria C can be contacted via phone (956) 631-9000.

Contact Information

Primary practice address
5420 S. Jackson Rd Edinburg TX 78539
Phone: (956) 631-9000
Fax: (956) 631-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 14901 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 14901 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 14901 Texas

Profile Details

NPI number 1194854976
LBN Legal business name Quilantan Diaz, Maria C
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jun 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194854976 NPPES
Texas MEDICAID 027878001

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