Most Relevant Information
Provider Data
| NPI Number: | 1003529918 |
| Provider Name: | STEPHANIE HELEN DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/05/2023 |
| Last Updated: | 02/27/2023 |
Provider Practice Location
65 MECHANIC ST STE 203
RED BANK
NJ
077011852
Practice Location Phone/Fax
| Phone: | 8552847483 |
| Fax: | 6178070958 |
Provider Mailing Location
PO BOX 748465
ATLANTA
GA
303748465
Provider Mailing Phone/Fax
| Phone: | 8552847483 |
| Fax: | 6178070958 |