Individual provider · Type 1 NPI

Jillian Diffenbaugh, LMBT, MBA

Specialist · Fayetteville, NC

NPI number 1295288215 Active

Practice location

1019 Hay St
Fayetteville, NC 28305-5315

Call (717) 406-5020 Map

Mailing address

5308 Chesapeake Rd
Fayetteville, NC 28311-1537

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XLMBT 15047 (NC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1295288215

Jillian Diffenbaugh, LMBT, MBA's National Provider Identifier is 1295288215, issued on Jul 26, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fayetteville, NC. The record was last updated on Jan 10, 2017.