Jake Diaz
Jake Diaz is a Mental Health Counselor in South Lake Tahoe, California. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1900 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-6305
Phone: (530) 573-7970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1629583802 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 9, 2017 |
| Last updated in NPPES | December 9, 2017 |
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1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 · (530) 573-7970
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