Individual provider · Type 1 NPI

Jeremy Diaz, RDS

Addiction (Substance Use Disorder) Counselor · Fort Smith, AR

NPI number 1902292568 Active

Practice location

615 N 19th St
Fort Smith, AR 72901-3319

Fax (479) 668-2059

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902292568

Jeremy Diaz, RDS's National Provider Identifier is 1902292568, issued on Apr 10, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Smith, AR. The record was last updated on Apr 10, 2015.