Individual
MARY DIMOCK LUPINETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11 TRIPP ST, MEDFORD, OR 97504-7343
(541) 842-0655
(541) 292-5689
Mailing address
2684 KERRISDALE RIDGE DR, MEDFORD, OR 97504-5719
(541) 842-0655
(541) 292-5689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4046
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500704770
—
OR
Enumeration date
07/22/2013
Last updated
02/11/2026
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