Individual
KIMBERLY DIBIASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6160 TUTT BLVD STE 100, COLORADO SPRINGS, CO 80923-3503
(719) 439-5979
Mailing address
4016 SAN FELICE PT, COLORADO SPRINGS, CO 80906-5900
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001412
CO
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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