Individual
DIANE DAWN DOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4897079-6009
UT
104100000X
Social Worker
4897079-3503
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2006
Last updated
09/24/2024
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