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Marisa Inez Diaz
Mental Health Counselor in San Marcos, California
NPI 1205386372

Marisa Inez Diaz is a Mental Health Counselor based in San Marcos, CA and is specialized in Mental Health. Marisa Inez Diaz practices in San Marcos, CA. The NPI Number for Marisa Inez Diaz is 1205386372 and holds a License No. 73024 (California).

The current practice location address for Marisa Inez Diaz is 325 Buena Creek Rd, San Marcos, CA and can be reached out via phone at 760-754-5500 and via fax at 760-566-3569.

Location: 325 Buena Creek Rd, San Marcos, CA, 92069-9679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205386372
Provider Name
Marisa Inez Diaz
Credential
Provider Entity Type
Individual
Gender
Female
Address
325 Buena Creek Rd, San Marcos, CA, 92069-9679
Phone Number
760-754-5500
Fax Number
760-566-3569
Provider Enumeration Date
10/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73024 01 CA BOARD OF BEHAVIORAL SCIENCES
institution
Provider Business Practice Location Address Details
Address
325 Buena Creek Rd
City
San Marcos
State
California
Zip
92069-9679
Phone Number
760-754-5500
Fax Number
760-566-3569
person
Provider Business Mailing Address Details
Address
325 Buena Creek Rd
City
San Marcos
State
California
Zip
92069-9679
Phone Number
760-754-5500
Fax Number
760-566-3569
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
73024 (California)
Definition
Definition to come...
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