Individual
DEAN DIPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
201 22ND ST, ASHLAND, KY 41101-7803
(606) 324-1411
(606) 325-8606
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0389
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360979
ANTHEM BCBS
—
05
—
30610026
—
KY
Enumeration date
09/17/2006
Last updated
07/08/2007
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