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General NPI Number Information
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NPI Number | 1578883757
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Entity Type | Individual
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Provider Name | HEATHER I DIAZ LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 5108 196TH ST SW STE 350
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City | LYNNWOOD
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State | WA
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Zip | 98036-6169
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Country | US
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Telephone | 425-582-2041
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Fax | 425-527-0468
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Provider Business Mailing Address
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Address Line | 5650 THISTLE DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-6710
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Country | US
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Telephone | 425-582-2041
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Fax | 425-527-0468
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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