# MR. TIMOTHY P. STIPEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1831979384
- **Gender:** Man
- **Credential:** BA, MSSA, LISW-SUPV

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | I.0005463-SUPV | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | I.0005463-SUPV | OH | — |

## Other

- **Enumeration date:** 10/03/2023
- **Last updated:** 10/10/2023