Individual
REGINA DIPADOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E BOULDER ST, COLORADO SPRINGS, CO 80903-3103
(171) 996-4365
Mailing address
701 E BOULDER ST, COLORADO SPRINGS, CO 80903-3103
(719) 964-4365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0133
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/13/2011
Last updated
06/28/2023
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