Individual provider · Type 1 NPI

Michael Keith Dibble Jr., M.A., LPC

Professional Counselor · Grand Prairie, TX

NPI number 1144631508 Active

Practice location

4601 Matthew Rd
Grand Prairie, TX 75052-1750

Call (469) 278-5901 Map

Mailing address

4322 Matthew Rd
Grand Prairie, TX 75052-1501

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X62572 (TX)

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About NPI 1144631508

Michael Keith Dibble Jr., M.A., LPC's National Provider Identifier is 1144631508, issued on May 19, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Prairie, TX. The record was last updated on May 19, 2014.