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NPI Code Detail

MEDICARE: MS. JOANNE MARIE NIBBIO LMFT

MEDICARE: MS. JOANNE MARIE NIBBIO LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC 38416CA

General Provider Information

NPI Number : 1386854685
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOANNE MARIE NIBBIO LMFT
Provider Business Mailing Address
First Line : 1255 KENDALL RD
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-8750
Country : US
Telephone Number : 805-781-3535
Fax Number : 805-503-6499
Provider Business Practice Location Address
First Line : 1255 KENDALL RD
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-8750
Country : US
Telephone Number : 805-781-3535
Fax Number : 805-503-6499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 03/31/2023

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Directions to “ MS. JOANNE MARIE NIBBIO LMFT” Practice Location

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