Individual provider · Type 1 NPI

Gus Tom Diamond

Mental Health Counselor · Mesa, AZ

NPI number 1407979578 Active

Practice location

2500 S Power Rd Ste 108
Mesa, AZ 85209-6687

Call (480) 981-6089 Map

Mailing address

3134 N 80th St
Mesa, AZ 85207-9765

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW-10267 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1407979578

Gus Tom Diamond's National Provider Identifier is 1407979578, issued on Apr 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Jul 8, 2007.