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Vivianna Dibello
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1861088668

Vivianna Dibello is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Vivianna Dibello practices in Santa Rosa, CA. The NPI Number for Vivianna Dibello is 1861088668 and holds a License No. (California).

The current practice location address for Vivianna Dibello is 1430 Neotomas Ave, Santa Rosa, CA and can be reached out via phone at 707-565-7460.

Location: 1430 Neotomas Ave, Santa Rosa, CA, 95405-7575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861088668
Provider Name
Vivianna Dibello
Credential
Provider Entity Type
Individual
Gender
Female
Address
1430 Neotomas Ave, Santa Rosa, CA, 95405-7575
Phone Number
707-565-7460
Fax Number
Provider Enumeration Date
12/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 CA
institution
Provider Business Practice Location Address Details
Address
1430 Neotomas Ave
City
Santa Rosa
State
California
Zip
95405-7575
Phone Number
707-565-7460
Fax Number
person
Provider Business Mailing Address Details
Address
1430 Neotomas Ave
City
Santa Rosa
State
California
Zip
95405-7575
Phone Number
707-565-7460
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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