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Ms. Viviana Andrea Diaz
Mental Health Counselor in Evergreen Park, Illinois
NPI 1548671506

Viviana Andrea Diaz is a Mental Health Counselor based in Evergreen Park, IL and is specialized in Mental Health. Viviana Andrea Diaz practices in Evergreen Park, IL. The NPI Number for Viviana Andrea Diaz is 1548671506 and holds a License No. 178008741 (Illinois).

The current practice location address for Viviana Andrea Diaz is 3450 W Maple St, Evergreen Park, IL and can be reached out via phone at 773-234-4214.

Location: 3450 W Maple St, Evergreen Park, IL, 60805-3043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548671506
Provider Name
Viviana Andrea Diaz
Credential
Provider Entity Type
Individual
Gender
Female
Address
3450 W Maple St, Evergreen Park, IL, 60805-3043
Phone Number
773-234-4214
Fax Number
Provider Enumeration Date
05/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3450 W Maple St
City
Evergreen Park
State
Illinois
Zip
60805-3043
Phone Number
773-234-4214
Fax Number
person
Provider Business Mailing Address Details
Address
3450 W Maple St
City
Evergreen Park
State
Illinois
Zip
60805-3043
Phone Number
773-234-4214
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
178.008741 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
178008741 (Illinois)
Definition
Definition to come...
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