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Laura Teresa Diaz, QMHA

Counselor, Mental Health in Medford, OR. Individual provider (NPI-1).

NPI number1639893142
StatusActive
Last updated in NPPESSep 28, 2022

Details

NPI
1639893142
Entity type
Individual (NPI-1)
Name
Laura Teresa Diaz
Credential
QMHA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2022
Certification date
Sep 28, 2022
Last updated
Sep 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

200 Beatty St
Medford, OR 97501-5811

Phone 541-476-2373

Mailing address

1215 Sw G St
Grants Pass, OR 97526-2544

Phone 541-476-2373

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