Diaz, Clint T.

Diaz, Clint T. is an individual health care provider with primary practice located at 106 E 1St St , Yuma AZ 85364-1450. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Diaz, Clint T. can be contacted via phone (928) 341-9199.

Contact Information

Primary practice address
106 E 1St St Yuma AZ 85364-1450
Phone: (928) 341-9199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10172 Arizona

Profile Details

NPI number 1265537948
LBN Legal business name Diaz, Clint T.
Credentials LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265537948 NPPES
Arizona Other 913914 AHCCCS

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