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Mr. Michael Dibenedetto
Professional Counselor in Columbia, Missouri
NPI 1386620094

Michael Dibenedetto is a Professional Counselor based in Columbia, MO and is specialized in Professional. Michael Dibenedetto practices in Columbia, MO. The NPI Number for Michael Dibenedetto is 1386620094 and holds a License No. 000222 (Missouri).

The current practice location address for Michael Dibenedetto is 375 Crown Pt, Columbia, MO and can be reached out via phone at 573-875-1576 and via fax at 573-449-3171. You can also correspond with Michael Dibenedetto through the mailing address at 375 CROWN POINT, COLUMBIA, MO - 65203-2202 (mailing address contact number: 573-875-1576).

Location: 375 Crown Pt, Columbia, MO, 65203-2202
person
Provider Profile Details
NPI Number
1386620094
Provider Name
Michael Dibenedetto
Credential
Provider Entity Type
Individual
Gender
Male
Address
375 Crown Pt, Columbia, MO, 65203-2202
Phone Number
573-875-1576
Fax Number
573-449-3171
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
493876015 05 MO
institution
Provider Business Practice Location Address Details
Address
375 Crown Pt
City
State
Zip
65203-2202
Phone Number
573-875-1576
Fax Number
573-449-3171
person
Provider Business Mailing Address Details
Address
375 Crown Pt
City
State
Zip
65203-2202
Phone Number
573-875-1576
Fax Number
573-449-3171
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
000222 (Missouri)
Definition
Definition to come...
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