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Individual

DYLAN PIERROTTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

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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