Individual provider · Type 1 NPI
Dino Dominic Balliviero, LPC, CTTS
Professional Counselor · Covington, LA
NPI number
1386883312
Active
Practice location
71338 Hwy. 21, Suite 101
Covington, LA 70433-7162
Fax (985) 231-1373
Mailing address
203 Leeds St
Slidell, LA 70461-5061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2732 (LA) |
Professional Counselor: Definition to come...
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About NPI 1386883312
Dino Dominic Balliviero, LPC, CTTS's National Provider Identifier is 1386883312, issued on Feb 15, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Covington, LA. The record was last updated on Jun 20, 2020.