Provider Demographics
NPI:1275075350
Name:DIAS, JOHN (MS COUNSELING/LMFT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:DIAS
Suffix:
Gender:M
Credentials:MS COUNSELING/LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 S PINKHAM ST STE D
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1514
Mailing Address - Country:US
Mailing Address - Phone:559-372-7090
Mailing Address - Fax:
Practice Address - Street 1:561 S PINKHAM ST STE D
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-1514
Practice Address - Country:US
Practice Address - Phone:559-372-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116004106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist