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MS. MARY BYERS DIAZ LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992049779

Individual Registrant:
MS. MARY BYERS DIAZ LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
1614 JENSON RD  HACKETT, AR 72937-4313 US
Tel: 479-629-1521  Fax: 918-649-3747

Contact information for business:
1614 JENSON RD  HACKETT, AR 72937-4313 US
Tel: 479-629-1521  Fax: 918-649-3747

Registration Information:
NPI: 1992049779
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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