Andrew William Dipastena, MFT TEMP LICENSE

NPI #1003577370 in Cleveland, Tennessee

Provider Information

NPI Number
1003577370
Entity Type
Individual
Name
Andrew William Dipastena, MFT TEMP LICENSE
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MFT TEMP LICENSE
Enumeration Date
Jan 7, 2022
Last Updated
Nov 22, 2023

Practice Location

Address
2200 CHAMBLISS AVE NW
ZIP Code
37311-3874
Phone
(423) 599-9347

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Marriage & Family Therapist

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