Individual
MS. JOAN BOWEN DIBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC1, CSAC
Contact information
Practice address
3919 NATIONAL DR, BURTONSVILLE, MD 20866-1105
(301) 453-5174
Mailing address
4914 30TH PL NW, WASHINGTON, DC 20008-1016
(202) 413-1242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103665
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC11147
DC
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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