| 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 | |
Crystal Annette Reddington, THW Counselor Medicare: Not Enrolled in Medicare Practice Location: 47767 Nw Pongratz Rd, Banks, OR 97106 Phone: 541-228-6757 | |
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 | |
Emma Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13590 Nw Main St, Banks, OR 97106 Phone: 503-298-6562 |