person
Ms. Sandra Hall Diaz, LCSW
Mental Health Counselor in Ocean Springs, Mississippi
NPI 1801977921

Sandra Hall Diaz is a Mental Health Counselor based in Ocean Springs, MS and is specialized in Mental Health. Sandra Hall Diaz practices in Ocean Springs, MS and has the professional credentials of LCSW. The NPI Number for Sandra Hall Diaz is 1801977921 and holds a License No. C1885 (Mississippi).

The current practice location address for Sandra Hall Diaz is 310 W. Porter Ave, Ocean Springs, MS and can be reached out via phone at 228-872-2011 and via fax at 228-872-3791.

Location: 310 W. Porter Ave, Ocean Springs, MS, 39564
person
Provider Profile Details
NPI Number
1801977921
Provider Name
Sandra Hall Diaz
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
310 W. Porter Ave, Ocean Springs, MS, 39564
Phone Number
228-872-2011
Fax Number
228-872-3791
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0118148 05 MS
62-51970 01 MS MAIL HANDLERS BENEFIT PLA
SWL-3703000 01 NY AMERICAN PROFESSIONAL AGE
C1885 01 MS MS STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
310 W. Porter Ave
City
State
Zip
39564
Phone Number
228-872-2011
Fax Number
228-872-3791
person
Provider Business Mailing Address Details
Address
310 W. Porter Ave
City
State
Zip
39564
Phone Number
228-872-2011
Fax Number
228-872-3791
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C1885 (Mississippi)
Definition
Definition to come...
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