Juventino Diez is a Peer Specialist based in Bronx, NY. Juventino Diez practices in Bronx, NY. The NPI Number for Juventino Diez is 1053953430 and holds a License No. (New York).
The current practice location address for Juventino Diez is 165 Mermaid Ln, Bronx, NY and can be reached out via phone at 929-303-0024.
Location: 165 Mermaid Ln, Bronx, NY, 10473-2499
Provider Profile Details
NPI Number
1053953430
Provider Name
Juventino Diez
Credential
Provider Entity Type
Individual
Gender
Male
Address
165 Mermaid Ln, Bronx, NY, 10473-2499
Phone Number
929-303-0024
Fax Number
Provider Enumeration Date
10/17/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
165 Mermaid Ln
City
State
Zip
10473-2499
Phone Number
929-303-0024
Fax Number
Provider Business Mailing Address Details
Address
165 Mermaid Ln
City
State
Zip
10473-2499
Phone Number
929-303-0024
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(New York)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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