Individual
DOMINIQUE BIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(267) 547-0103
(267) 754-6511
Mailing address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(267) 547-0103
(267) 754-6511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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