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Gina Marie Diaz, LMHC
Mental Health Counselor in Granger, Iowa
NPI 1659651115

Gina Marie Diaz is a Mental Health Counselor based in Granger, IA and is specialized in Mental Health. Gina Marie Diaz practices in Granger, IA and has the professional credentials of LMHC. The NPI Number for Gina Marie Diaz is 1659651115 and holds a License No. 350 (Iowa).

The current practice location address for Gina Marie Diaz is 10850 Nw 105Th Ct, Granger, IA and can be reached out via phone at 515-491-8522. You can also correspond with Gina Marie Diaz through the mailing address at 10850 NW 105TH CT, GRANGER, IA - 50109-9630 (mailing address contact number: 515-491-8522).

Location: 10850 Nw 105Th Ct, Granger, IA, 50109-9630
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Provider Profile Details
NPI Number
1659651115
Provider Name
Gina Marie Diaz
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
10850 Nw 105Th Ct, Granger, IA, 50109-9630
Phone Number
515-491-8522
Fax Number
Provider Enumeration Date
08/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
183447000 05 IA
institution
Provider Business Practice Location Address Details
Address
10850 Nw 105Th Ct
City
State
Zip
50109-9630
Phone Number
515-491-8522
Fax Number
person
Provider Business Mailing Address Details
Address
10850 Nw 105Th Ct
City
State
Zip
50109-9630
Phone Number
515-491-8522
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
350 (Iowa)
Definition
Definition to come...
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