Individual provider · Type 1 NPI

Constance Stamps Dibagio

Mental Health Counselor · Jacksonville, FL

NPI number 1821135294 Active

Practice location

5776 Saint Augustine Rd
Jacksonville, FL 32207-8030

Call (904) 448-4700 Map

Fax (904) 448-4717

Mailing address

1757 River Plantation Ln
Jacksonville, FL 32223-0852

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH8367 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1821135294

Constance Stamps Dibagio's National Provider Identifier is 1821135294, issued on Feb 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.