Individual provider · Type 1 NPI

Laura Teresa Diaz, QMHA

Mental Health Counselor · Medford, OR

NPI number 1639893142 Active

Practice location

200 Beatty St
Medford, OR 97501-5811

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639893142

Laura Teresa Diaz, QMHA's National Provider Identifier is 1639893142, issued on Sep 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Sep 28, 2022.