Individual
BRANDEN DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2599
(619) 278-0777
Mailing address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2599
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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