Individual
DYLAN PIERROTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5 ORCHARD RD, STANDISH, ME 04084-6418
(207) 929-0665
Mailing address
1298 CAPE RD, LIMINGTON, ME 04049-3215
(207) 929-0665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5377
ME
101YM0800X
Mental Health Counselor
XL4426
ME
101YP2500X
Professional Counselor
Primary
CC4955
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447641105
—
ME
Enumeration date
02/16/2015
Last updated
03/17/2018
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