Individual provider · Type 1 NPI

Lourdes M. Diaz, LPC, CAC III

Professional Counselor · Fort Carson, CO

NPI number 1215112123 Active

Practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4603

Call (719) 526-1418 Map

Fax (719) 526-1205

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4388 (CO)

Professional Counselor: Definition to come...

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About NPI 1215112123

Lourdes M. Diaz, LPC, CAC III's National Provider Identifier is 1215112123, issued on Jan 9, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Carson, CO. The record was last updated on Sep 21, 2009.