person
Maguen Landa-samano Diaz
Addiction (Substance Use Disorder) Counselor in Toppenish, Washington
NPI 1447735667

Maguen Landa-samano Diaz is an Addiction (Substance Use Disorder) Counselor based in Toppenish, WA and is specialized in Addiction (Substance Use Disorder). Maguen Landa-samano Diaz practices in Toppenish, WA. The NPI Number for Maguen Landa-samano Diaz is 1447735667 and holds a License No. 60834054 (Washington).

The current practice location address for Maguen Landa-samano Diaz is 220 Germantown Rd, Toppenish, WA and can be reached out via phone at 509-832-3124.

Location: 220 Germantown Rd, Toppenish, WA, 98948-9605
person
Provider Profile Details
NPI Number
1447735667
Provider Name
Maguen Landa-samano Diaz
Credential
Provider Entity Type
Individual
Gender
Female
Address
220 Germantown Rd, Toppenish, WA, 98948-9605
Phone Number
509-832-3124
Fax Number
Provider Enumeration Date
10/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60834054 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
220 Germantown Rd
City
State
Zip
98948-9605
Phone Number
509-832-3124
Fax Number
person
Provider Business Mailing Address Details
Address
220 Germantown Rd
City
State
Zip
98948-9605
Phone Number
509-832-3124
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
60834054 (Washington)
Definition
Definition to come...
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