Individual
FRANK JOSEPH DIBELLA
Active
Individual
FRANK JOSEPH DIBELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC010150
PA
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY MEDICAID PROVIDER NUMBER
NJ
01
—
14145922
CAQH
—
01
—
PC010150
STATE LICENSE
PA
Enumeration date
06/21/2011
Last updated
09/27/2022
Update your record
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