Provider Demographics
NPI:1871964478
Name:GIUSTI, DALENEA (MA, PC)
Entity type:Individual
Prefix:
First Name:DALENEA
Middle Name:
Last Name:GIUSTI
Suffix:
Gender:F
Credentials:MA, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8331 VERBENA LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8330
Mailing Address - Country:US
Mailing Address - Phone:513-889-5880
Mailing Address - Fax:513-755-4908
Practice Address - Street 1:6 S 2ND ST
Practice Address - Street 2:SUITE 513A
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-2846
Practice Address - Country:US
Practice Address - Phone:513-889-5880
Practice Address - Fax:513-755-4908
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9651957101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health