Individual provider · Type 1 NPI

Ivan Diaz

Mental Health Counselor · Kissimmee, FL

NPI number 1205536893 Active

Practice location

1621 E Vine St
Kissimmee, FL 34744-3730

Call (407) 847-4152 Map

Mailing address

145 E 13th St
St. Cloud, FL 34769-4749

Other practice locations

  • 222 N Hiawassee Rd Apt 4, Orlando, FL 32835-1075 · (407) 724-2412

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner 225400000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205536893

Ivan Diaz's National Provider Identifier is 1205536893, issued on Mar 3, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kissimmee, FL. The record was last updated on Dec 30, 2024.