Alicia Jean Digiulio, MA, MSED, LMHC
Counselor, Mental Health in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1003200775
StatusActive
Last updated in NPPESMar 11, 2020
Details
- NPI
- 1003200775
- Entity type
- Individual (NPI-1)
- Name
- Alicia Jean Digiulio
- Credential
- MA, MSED, LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2015
- Certification date
- Mar 11, 2020
- Last updated
- Mar 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 39003727A | IN | Yes |
Practice location
9417 Saint Joe Center RdFort Wayne, IN 46835-9259
Phone 260-255-5289
Mailing address
13720 Pendleton Mills CtFort Wayne, IN 46814-8998
Phone 260-348-6394
Other practice locations
2020 E Washington Blvd Ste 700
Fort Wayne, IN 46803-1368
Fort Wayne, IN 46803-1368
Phone 260-422-3034
6202 Constitution Dr Ste B
Fort Wayne, IN 46804-1583
Fort Wayne, IN 46804-1583
Phone 260-255-5289
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