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Individual

GINA MARIE DIBELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
35455 GARFIELD RD, CLINTON TOWNSHIP, MI 48035-2236
(586) 792-5335
(586) 792-3061
Mailing address
35455 GARFIELD RD, CLINTON TOWNSHIP, MI 48035-2236
(586) 792-5335
(586) 792-3061

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014718
MI
101Y00000X
Counselor
101YP2500X
Professional Counselor
6401014718
MI

Other

Enumeration date
05/09/2014
Last updated
07/13/2021
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