JESSICA MICHELLE DIAZ

LOS ANGELES, CA
NPI1154899474
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1327221118)
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
JESSICA MICHELLE DIAZ
600 W MANCHESTER AVE
LOS ANGELES, CA 90044-5770
Phone number: 323-750-9247
Mailing Address
JESSICA MICHELLE DIAZ
600 W MANCHESTER AVE
LOS ANGELES, CA 90044-5770
Phone number: 323-750-9247
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