Mariel Diaz, LPC
Counselor, Professional in Trumann, AR. Individual provider (NPI-1).
NPI number1669985115
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1669985115
- Entity type
- Individual (NPI-1)
- Name
- Mariel Diaz
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2017
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | P2303018 | AR | Yes |
Practice location
809 W Main St Ste C-DTrumann, AR 72472-2611
Phone 870-483-0068 · Fax 870-483-0066
Mailing address
2809 Forest Home RdJonesboro, AR 72401-5320
Phone 866-972-1268
Other practice locations
2200 E Matthews Ave
Jonesboro, AR 72401-4347
Jonesboro, AR 72401-4347
Phone 870-972-1268 · Fax 870-934-0847
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