Search › Michigan › 1041C0700X
Jaribeth Disla, LMSW
NPI 1992223507 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5635 W Fort St
Detroit, MI 48209 - Phone
- (313) 849-3920
- Organisation at this address
- Community Health And Social Services Center, Inc
Community Health And Social Services Center, Inc
Community Health And Social Services Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 63
Additional practice sites
- 4875 Coplin St, Detroit, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
104100000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan