NPI 1003130279
Jessica Diaz, LMHC
Practice location
- Address
- 105 Bertha Rd STE B, Taos, NM 87571
- Phone
- (505) 758-4297
- Mailing address
- 8815 Templeton Ave SW, Albuquerque, NM 87121-7248
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1003130279
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Mar 2010
- Record last updated
- 16 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.