Individual provider · Type 1 NPI

Krystal Desiree Diaz

Mental Health Counselor · Pasadena, CA

NPI number 1245664093 Active

Practice location

36 S Kinneloa Ave Ste 100
Pasadena, CA 91107-3853

Call (323) 844-3033 Map

Mailing address

4617 Yellowstone St
Los Angeles, CA 90032-3746

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW63826 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1245664093

Krystal Desiree Diaz's National Provider Identifier is 1245664093, issued on Aug 29, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pasadena, CA. The record was last updated on Oct 5, 2016.