Most Relevant Information
Provider Data
| NPI Number: | 1003200775 |
| Provider Name: | ALICIA JEAN DIGIULIO MA, MSED, LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 39003727A |
Most Important Dates
| Enumeration Date: | 03/20/2015 |
| Last Updated: | 03/11/2020 |
Provider Practice Location
9417 SAINT JOE CENTER RD
FORT WAYNE
IN
468359259
Practice Location Phone/Fax
| Phone: | 2602555289 |
| Fax: |
Provider Mailing Location
13720 PENDLETON MILLS CT
FORT WAYNE
IN
468148998
Provider Mailing Phone/Fax
| Phone: | 2603486394 |
| Fax: |