Doctor Name: | DIANE SALEEBY |
NPI Number: | 1336291848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, PH. D. |
License Number: | MH 3947 |
Business Practice Address: | 91831 Overseas Hwy Suite A Tavernier, FL - 330702647 |
Business Phone Number: | 3058528482 |
Business Fax Number: | |
Mailing Address: | Po Box 264, TAVERNIER |
State: | FL |
Postal Code: | 330700264 |
Phone Number: | 3058528482 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 3947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |