Individual provider · Type 1 NPI
Amanda Gray Depippo, LMHC, CAP
Mental Health Counselor · Lutz, FL
NPI number
1790042414
Active
Practice location
17886 N US Highway 41
Lutz, FL 33549-4502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH 9857 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1790042414
Amanda Gray Depippo, LMHC, CAP's National Provider Identifier is 1790042414, issued on Apr 19, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lutz, FL. The record was last updated on Aug 1, 2012.