Jay Gabriel Diaz
Counselor, Addiction (Substance Use Disorder) in Visalia, CA. Individual provider (NPI-1).
NPI number1356839773
StatusActive
Last updated in NPPESApr 15, 2022
Details
- NPI
- 1356839773
- Entity type
- Individual (NPI-1)
- Name
- Jay Gabriel Diaz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2018
- Certification date
- Apr 6, 2022
- Last updated
- Apr 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R1302650418 | CA | Yes |
Practice location
942 South Sante FeVisalia, CA 93292
Phone 559-636-4000
Mailing address
942 South Sante FeVisalia, CA 93292-2912
Phone 559-636-4000
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All 313 Addiction (Substance Use Disorder) Counselor providers in Visalia · All 5,100 providers in Visalia
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