Nicole Diaz De Cardona, LMHC
Counselor, Mental Health in Waltham, MA. Individual provider (NPI-1).
NPI number1962010280
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1962010280
- Entity type
- Individual (NPI-1)
- Name
- Nicole Diaz De Cardona
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2020
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LMHC10002000 | MA | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
431 River St Ste 1Waltham, MA 02453-5483
Phone 781-966-5674
Mailing address
431 River St Ste 1Waltham, MA 02453-5483
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