Individual provider · Type 1 NPI

Nicole Diaz

Mental Health Counselor · New York, NY

NPI number 1053004085 Active

Practice location

928 Broadway Ste 500
New York, NY 10010-8148

Mailing address

3 Parkview Pl
Elmont, NY 11003-4817

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053004085

Nicole Diaz's National Provider Identifier is 1053004085, issued on May 26, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on May 26, 2023.