Provider Demographics
NPI:1023695160
Name:DIBONA, TORI (LMFT)
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:DIBONA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 SANTA FE DR UNIT 418
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4257
Mailing Address - Country:US
Mailing Address - Phone:702-931-4383
Mailing Address - Fax:
Practice Address - Street 1:1010 SANTA FE DR UNIT 418
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4257
Practice Address - Country:US
Practice Address - Phone:720-805-8653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-25
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0002365106H00000X
IL166.001643106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist