George P Dymiotis, LPC
Counselor, Professional in Indiana, PA. Individual provider (NPI-1).
NPI number1881925485
StatusActive
Last updated in NPPESDec 22, 2020
Details
- NPI
- 1881925485
- Entity type
- Individual (NPI-1)
- Name
- George P Dymiotis
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2010
- Certification date
- Dec 22, 2020
- Last updated
- Dec 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC007117 | PA | Yes |
| 101YM0800X | Counselor, Mental Health | 39002113A | IN |
Practice location
647 Philadelphia St Ste 402Indiana, PA 15701-3923
Phone 765-404-6582 · Fax 814-690-2075
Mailing address
647 Philadelphia St Ste 402Indiana, PA 15701-3923
Phone 765-404-6582 · Fax 814-690-2075
Other practice locations
670 N 36th St
Lafayette, IN 47905-4474
Lafayette, IN 47905-4474
Phone 765-446-8412
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