| NPI | 1912442526 |
|---|---|
| Professional Name | DOUG DIBRIELLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8027) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 8027) |
| 101YP2500X Counselor, Professional (Licence: MA 8027) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2024-03-07 |