Organization · Type 2 NPI
Michael Keith Dibble Jr., PLLC
Professional Counselor · Grand Prairie, TX
NPI number
1427460864
Active
Practice location
4601 Matthew Rd
Grand Prairie, TX 75052-1750
Mailing address
4322 Matthew Rd
Grand Prairie, TX 75052-1501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 62572 (TX) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1427460864
Michael Keith Dibble Jr., PLLC's National Provider Identifier is 1427460864, issued on May 20, 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 20, 2014.