Individual provider · Type 1 NPI
Jessica Lynn Diaz, CDAC-R
Addiction (Substance Use Disorder) Counselor · Medford, OR
NPI number
1720964844
Active
Practice location
300 W Main St
Medford, OR 97501-2756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720964844
Jessica Lynn Diaz, CDAC-R's National Provider Identifier is 1720964844, issued on Aug 13, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Aug 13, 2025.