NPI:
1427460864
Provider Name:
MICHAEL KEITH DIBBLE JR., PLLC
Doing Business As: KEITH DIBBLE, LPC
Classification:
Counselor - 101YP2500X
Entity Type:
Organization
Specialization: Professional
Address:
4601 MATTHEW RD
GRAND PRAIRIE, TX
ZIP 75052
Phone:
(469) 278-5901
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MICHAEL KEITH DIBBLE JR., PLLC is a professional counselor in Grand Prairie, TX. MICHAEL KEITH DIBBLE JR., PLLC NPI is 1427460864. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Keith Dibble, Lpc.
The provider's business location address is:
4601 MATTHEW RD
GRAND PRAIRIE, TX
ZIP 75052-750
Phone: (469) 278-5901
The provider's authorized official is Michael Keith Dibble .
The authorized official title is President and has the following contact phone number (214) 632-9242.
The enumeration date for this NPI number is 5/20/2014 and was last updated on 5/20/2014.