Mike Diaz
Counselor, Mental Health in Everett, WA. Individual provider (NPI-1).
NPI number1043695877
StatusActive
Last updated in NPPESJul 22, 2015
Details
- NPI
- 1043695877
- Entity type
- Individual (NPI-1)
- Name
- Mike Diaz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2015
- Last updated
- Jul 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
4526 Federal Ave Bldg 1Everett, WA 98203-2132
Phone 425-349-6274
Mailing address
Po Box 3810Everett, WA 98213-8810
Phone 425-349-6274
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