Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Anahi Diaz

Individual provider Mental Health Counselor · NPI 1558787911

Jacqueline Anahi Diaz is a Mental Health Counselor in Lynwood, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
5
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Practice location Address checks out

2620 Industry Way
Lynwood, CA 90262-4024
Phone: (310) 667-4070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2640 Industry Way, Lynwood, CA 90262-4284 — (310) 627-4525

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 124197 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW84607 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 84607 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558787911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2014
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

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