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Abraham Heriberto Diaz III, LCDC

Counselor, Addiction (Substance Use Disorder) in Laredo, TX. Individual provider (NPI-1).

NPI number1982447876
StatusActive
Last updated in NPPESJun 17, 2024

Details

NPI
1982447876
Entity type
Individual (NPI-1)
Name
Mr. Abraham Heriberto Diaz III
Credential
LCDC
Sex
Male
Sole proprietor
No
Enumeration date
Jun 17, 2024
Certification date
Jun 13, 2024
Last updated
Jun 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)16698TXYes

Practice location

4502 Mims Ave
Laredo, TX 78041-3552

Phone 956-229-0780

Mailing address

4502 Mims Ave
Laredo, TX 78041-3552

Phone 956-229-0780

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