Provider Demographics
NPI:1841498557
Name:CHIAPPETTA, CAROLYN JOAN (LCPC)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:JOAN
Last Name:CHIAPPETTA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 DARREN LN
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-8810
Mailing Address - Country:US
Mailing Address - Phone:406-683-6574
Mailing Address - Fax:
Practice Address - Street 1:225 E REEDER ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-2784
Practice Address - Country:US
Practice Address - Phone:406-683-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1017101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1841498557Other101YM0800X COUNSELOR MENTAL HEALTH LCPC-1017