Provider Demographics
NPI:1417578022
Name:DIPPON, NINA LOPES (LMFT)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:LOPES
Last Name:DIPPON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 W ROCKRIMMON BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-1767
Mailing Address - Country:US
Mailing Address - Phone:719-453-6244
Mailing Address - Fax:
Practice Address - Street 1:425 W ROCKRIMMON BLVD STE 201
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-1767
Practice Address - Country:US
Practice Address - Phone:719-453-6244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-05
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO.002126106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty