Individual
HEAHER DAWN DIBLASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 6TH AVE STE C&D, NEPTUNE, NJ 07753-6101
(908) 601-5091
Mailing address
24 NAUTILUS DR, LEONARDO, NJ 07737-1307
(908) 601-5091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00312100
NJ
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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