Individual provider · Type 1 NPI
Ivette Diaz
Mental Health Counselor · Brockton, MA
NPI number
1609152669
Active
Practice location
231 Main Street, Suite 300
Brockton, MA 02301
Fax (508) 427-1505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1609152669
Ivette Diaz's National Provider Identifier is 1609152669, issued on Oct 22, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Oct 22, 2011.