Leticia Diaz, | |
13590 Nw Main St, Banks, OR 97106-9057 | |
(503) 298-6562 | |
(971) 223-0957 |
Full Name | Leticia Diaz |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 13590 Nw Main St, Banks, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659140648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Leticia Diaz, 1163 Sw 160th Ave, Beaverton, OR 97006-5054 Ph: (505) 553-3818 | Leticia Diaz, 13590 Nw Main St, Banks, OR 97106-9057 Ph: (503) 298-6562 |
Miss Kyrsten Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13590 Nw Main St, Banks, OR 97106 Phone: 503-298-6562 | |
Mrs. Diamond Caitlin Phelps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13590 Nw Main St, Banks, OR 97106 Phone: 503-298-6562 | |
Angela Kronenberg, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 13590 Nw Main St, Banks, OR 97106 Phone: 505-298-6562 |