Individual provider · Type 1 NPI
Mary Byers Diaz, LPC
Professional Counselor · Hackett, AR
NPI number
1992049779
Active
Practice location
1614 Jenson Rd
Hackett, AR 72937-4313
Fax (918) 649-3747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1992049779
Mary Byers Diaz, LPC's National Provider Identifier is 1992049779, issued on Nov 19, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hackett, AR. The record was last updated on Jun 8, 2016.