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Diane Judith Heribacka, LMFT
Mental Health Counselor in Titusville, Florida
NPI 1700169752

Diane Judith Heribacka is a Mental Health Counselor based in Melbourne, FL and is specialized in Mental Health. Diane Judith Heribacka practices in Titusville, FL and has the professional credentials of LMFT. The NPI Number for Diane Judith Heribacka is 1700169752 and holds a License No. 35001728A (Florida).

The current practice location address for Diane Judith Heribacka is 6700 S Washington Ave, Titusville, FL and can be reached out via phone at 321-722-5200.

Location: 6700 S Washington Ave, Titusville, FL, 32901-3122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700169752
Provider Name
Diane Judith Heribacka
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
6700 S Washington Ave, Titusville, FL, 32901-3122
Phone Number
321-722-5200
Fax Number
Provider Enumeration Date
09/26/2011
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
6700 S Washington Ave
City
Titusville
State
Florida
Zip
32780-8050
Phone Number
321-722-5200
Fax Number
person
Provider Business Mailing Address Details
Address
6700 S Washington Ave
City
Titusville
State
Florida
Zip
32780-8050
Phone Number
321-722-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MT3289 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
35001728A (Indiana)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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