Individual provider · Type 1 NPI
Jessica Diaz, LCPC, CCMHC
Mental Health Counselor · Kuna, ID
NPI number
1184282303
Active
Practice location
2524 W Cerulean Dr
Kuna, ID 83634-3488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCPC-8096 (ID) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1184282303
Jessica Diaz, LCPC, CCMHC's National Provider Identifier is 1184282303, issued on Jun 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kuna, ID. The record was last updated on Mar 1, 2026.