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Mr. Clint T. Diaz, LISAC
Addiction (Substance Use Disorder) Counselor in Yuma, Arizona
NPI 1265537948

Clint T. Diaz is an Addiction (Substance Use Disorder) Counselor based in Yuma, AZ and is specialized in Addiction (Substance Use Disorder). Clint T. Diaz practices in Yuma, AZ and has the professional credentials of LISAC. The NPI Number for Clint T. Diaz is 1265537948 and holds a License No. LISAC-10172 (Arizona).

The current practice location address for Clint T. Diaz is 106 E 1St St, Yuma, AZ and can be reached out via phone at 928-341-9199.

Location: 106 E 1St St, Yuma, AZ, 85364-4363
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265537948
Provider Name
Clint T. Diaz
Credential
LISAC
Provider Entity Type
Individual
Gender
Male
Address
106 E 1St St, Yuma, AZ, 85364-4363
Phone Number
928-341-9199
Fax Number
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
913914 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
106 E 1St St
City
Yuma
State
Arizona
Zip
85364-1450
Phone Number
928-341-9199
Fax Number
person
Provider Business Mailing Address Details
Address
106 E 1St St
City
Yuma
State
Arizona
Zip
85364-1450
Phone Number
928-341-9199
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LISAC-10172 (Arizona)
Definition
Definition to come...
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