Individual provider · Type 1 NPI

Bonnelle Rose Diaz, MS, LMHC, MHP, SUDP

Mental Health Counselor · Spokane Valley, WA

NPI number 1780199455 Active

Practice location

12715 E Mission Ave
Spokane Valley, WA 99216-1027

Mailing address

2208 N Elm St
Spokane, WA 99205-4135

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60744063 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1780199455

Bonnelle Rose Diaz, MS, LMHC, MHP, SUDP's National Provider Identifier is 1780199455, issued on Dec 4, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spokane Valley, WA. The record was last updated on Nov 24, 2020.