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Laura Teresa Diaz, QMHA
Mental Health Counselor in Medford, Oregon
NPI 1639893142

Laura Teresa Diaz is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Laura Teresa Diaz practices in Medford, OR and has the professional credentials of QMHA. The NPI Number for Laura Teresa Diaz is 1639893142 and holds a License No. (Oregon).

The current practice location address for Laura Teresa Diaz is 200 Beatty St, Medford, OR and can be reached out via phone at 541-476-2373.

Location: 200 Beatty St, Medford, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639893142
Provider Name
Laura Teresa Diaz
Credential
QMHA
Provider Entity Type
Individual
Gender
Female
Address
200 Beatty St, Medford, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
09/28/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0823201701 05 OR
institution
Provider Business Practice Location Address Details
Address
200 Beatty St
City
Medford
State
Oregon
Zip
97501-5811
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
200 Beatty St
City
Medford
State
Oregon
Zip
97501-5811
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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