Individual
ALICIA JEAN DIGIULIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSED, LMHC
Contact information
Practice address
9417 SAINT JOE CENTER RD, FORT WAYNE, IN 46835-9259
(260) 255-5289
Mailing address
13720 PENDLETON MILLS CT, FORT WAYNE, IN 46814-8998
(260) 348-6394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003727A
IN
Other
Enumeration date
03/20/2015
Last updated
03/11/2020
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