Individual provider · Type 1 NPI

Teresa 'terry' Diak, LMHC

Mental Health Counselor · Brandon, FL

NPI number 1629321484 Active

Practice location

505 Eichenfeld Drive, Suite #106
Brandon, FL 33511-5985

Call (813) 689-1895 Map

Fax (813) 689-4328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH4191 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1629321484

Teresa 'terry' Diak, LMHC's National Provider Identifier is 1629321484, issued on Oct 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brandon, FL. The record was last updated on Oct 18, 2012.