Individual provider · Type 1 NPI

Nicole Michelle Diaz, MA, LPC

Mental Health Counselor · Chicago, IL

NPI number 1073109005 Active

Practice location

1142 W Madison St Ste 302
Chicago, IL 60607-2191

Mailing address

313 Hawthorne Ave
Bensenville, IL 60106-2337

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.019810 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1073109005

Nicole Michelle Diaz, MA, LPC's National Provider Identifier is 1073109005, issued on Dec 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jan 18, 2024.