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Javier A Diaz Jr.

Counselor in Barstow, CA. Individual provider (NPI-1).

NPI number1982161691
StatusActive
Last updated in NPPESNov 8, 2022

Details

NPI
1982161691
Entity type
Individual (NPI-1)
Name
Mr. Javier A Diaz Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 28, 2019
Certification date
Nov 8, 2022
Last updated
Nov 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes
106S00000X Behavior Technician–CA

Practice location

222 E Main St Ste 117
Barstow, CA 92311-2365

Phone 951-463-3419

Mailing address

13937 Cuyamaca Rd
Apple Valley, CA 92307-5904

Phone 951-463-3419

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