Provider Demographics
NPI:1235785767
Name:DIENER, GABRIELLE LIBBY (LGPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:LIBBY
Last Name:DIENER
Suffix:
Gender:F
Credentials:LGPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10622 MILLET SEED HL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4150
Mailing Address - Country:US
Mailing Address - Phone:443-472-8215
Mailing Address - Fax:
Practice Address - Street 1:5560 STERRETT PL STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2627
Practice Address - Country:US
Practice Address - Phone:443-546-4000
Practice Address - Fax:443-546-4005
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health