Individual provider · Type 1 NPI

Ivy Janet Palencia Diaz

Professional Counselor · Lynwood, CA

NPI number 1861744351 Active

Practice location

2610 Industry Way
Lynwood, CA 90262-4283

Call (310) 667-4070 Map

Other practice locations

  • 204 Hampton Dr, Venice, CA 90291-2623 · (310) 396-6468

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XPCCI: 1879 (CA)
Professional Counselor Primary 101YP2500XLPCC7674 (CA)

Professional Counselor: Definition to come...

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About NPI 1861744351

Ivy Janet Palencia Diaz's National Provider Identifier is 1861744351, issued on Oct 8, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lynwood, CA. The record was last updated on May 15, 2020.