Provider Demographics
NPI:1801371901
Name:DIAZ, AARON VASQUEZ (LMSW-AP)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:VASQUEZ
Last Name:DIAZ
Suffix:
Gender:M
Credentials:LMSW-AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 AGNES ST STE A18
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-3202
Mailing Address - Country:US
Mailing Address - Phone:361-882-1413
Mailing Address - Fax:361-882-1417
Practice Address - Street 1:1231 AGNES ST STE A18
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-3202
Practice Address - Country:US
Practice Address - Phone:361-882-1413
Practice Address - Fax:361-882-1417
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty