Individual
DOMINADOR CHRISTOPHER CHIPECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2233 HAMLINE AVE N STE 412, ROSEVILLE, MN 55113-5006
(651) 330-6205
Mailing address
2233 HAMLINE AVE N STE 412, ROSEVILLE, MN 55113-5006
(651) 330-6205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01020
MN
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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