Lupinetti, Mary Dimock

Lupinetti, Mary Dimock is an sole proprietor health care provider with primary practice located at 2684 Kerrisdale Ridge Dr , Medford OR 97504-5719. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lupinetti, Mary Dimock can be contacted via phone (541) 842-0655.

Contact Information

Primary practice address
2684 Kerrisdale Ridge Dr Medford OR 97504-5719
Fax: (541) 292-5689
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C4046 Oregon

Profile Details

NPI number 1063854826
LBN Legal business name Lupinetti, Mary Dimock
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2013
Last updated Jul 8th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063854826 NPPES
Oregon MEDICAID 500704770

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