Doctor Name: | MR. ERIC DANIEL CIPRIANO |
NPI Number: | 1194726794 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 6180 Kabul Pl Health Unit - Afghanistan Dulles, VA - 201896180 |
Business Phone Number: | 3014901042 |
Business Fax Number: | |
Mailing Address: | 2101 Meadow Ln, EL CAMPO |
State: | TX |
Postal Code: | 774372460 |
Phone Number: | 9152037847 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2005 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |