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Jessica Diaz, LPC
Professional Counselor in Milwaukee, Wisconsin
NPI 1669872818

Jessica Diaz is a Professional Counselor based in Milwaukee, WI and is specialized in Professional. Jessica Diaz practices in Milwaukee, WI and has the professional credentials of LPC. The NPI Number for Jessica Diaz is 1669872818 and holds a License No. 5415-125 (Wisconsin).

The current practice location address for Jessica Diaz is 619 W Walnut St, Milwaukee, WI and can be reached out via phone at 414-810-3548 and via fax at 414-810-3590.

Location: 619 W Walnut St, Milwaukee, WI, 53226-4874
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Provider Profile Details
NPI Number
1669872818
Provider Name
Jessica Diaz
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
619 W Walnut St, Milwaukee, WI, 53226-4874
Phone Number
414-810-3548
Fax Number
414-810-3590
Provider Enumeration Date
08/25/2014
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669872818 05 WI
institution
Provider Business Practice Location Address Details
Address
619 W Walnut St
City
State
Zip
53212-3839
Phone Number
414-810-3548
Fax Number
414-810-3590
person
Provider Business Mailing Address Details
Address
619 W Walnut St
City
State
Zip
53212-3839
Phone Number
414-810-3548
Fax Number
414-810-3590
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5415-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5415-125 (Wisconsin)
Definition
Definition to come...
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