Individual
MR. DINO DOMINIC BALLIVIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CTTS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2732
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC2732
PROFESSIONAL LICENSE
LA
Enumeration date
02/15/2009
Last updated
06/20/2020
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