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Individual

MISS KRISTEN E BALAN DIBELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4800
Mailing address
47 MARKLEVILLE LN, WESTFIELD, IN 46074-8433

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
000712-1
NY
106H00000X
Marriage & Family Therapist
Primary
35001849A
IN

Other

Enumeration date
03/25/2009
Last updated
08/02/2021
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