MARISA INEZ DIAZ NPI 1205386372

NPI Information

NPI: 1205386372
Provider Name: MARISA INEZ DIAZ
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
325 BUENA CREEK RD
SAN MARCOS, CA
ZIP 92069
Phone: (760) 754-5500
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Marisa Inez Diaz is a mental health counselor in San Marcos, CA. Marisa Inez Diaz NPI is 1205386372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 BUENA CREEK RD
SAN MARCOS, CA
ZIP 92069-679
Phone: (760) 754-5500
Fax: (760) 566-3569

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	73024	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	73024	OTHER	CALIFORNIA	BOARD OF BEHAVIORAL SCIENCES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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