person
Jose L Diaz
Professional Counselor in Fairfax, Virginia
NPI 1316257983

Jose L Diaz is a Professional Counselor based in Fairfax, VA and is specialized in Professional. Jose L Diaz practices in Fairfax, VA. The NPI Number for Jose L Diaz is 1316257983 and holds a License No. MH 10445 (Virginia).

The current practice location address for Jose L Diaz is 3700 Joseph Siewick Dr Ste 408A, Fairfax, VA and can be reached out via phone at 703-391-3300 and via fax at 703-391-4380.

Location: 3700 Joseph Siewick Dr Ste 408A, Fairfax, VA, 22033-1745
person
Provider Profile Details
NPI Number
1316257983
Provider Name
Jose L Diaz
Credential
Provider Entity Type
Individual
Gender
Male
Address
3700 Joseph Siewick Dr Ste 408A, Fairfax, VA, 22033-1745
Phone Number
703-391-3300
Fax Number
703-391-4380
Provider Enumeration Date
10/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3700 Joseph Siewick Dr Ste 408A
City
State
Zip
22033-1745
Phone Number
703-391-3300
Fax Number
703-391-4380
person
Provider Business Mailing Address Details
Address
3700 Joseph Siewick Dr Ste 408A
City
State
Zip
22033-1745
Phone Number
703-391-3300
Fax Number
703-391-4380
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701007329 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MH 10445 (Florida)
Definition
Definition to come...
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