Individual provider · Type 1 NPI

Crystal Diaz

Professional Counselor · Covina, CA

NPI number 1265059612 Active

Practice location

530 W Badillo St
Covina, CA 91722-3787

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Rehabilitation Practitioner 225400000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500X10342 (CA)

Professional Counselor: Definition to come...

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About NPI 1265059612

Crystal Diaz's National Provider Identifier is 1265059612, issued on Jul 1, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Covina, CA. The record was last updated on Sep 22, 2021.