Individual
ALISSCIA LATRICE TIPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 COHASSET RD STE 120, CHICO, CA 95926-2282
(530) 592-9153
Mailing address
260 COHASSET RD STE 120, CHICO, CA 95926-2282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2018
Last updated
07/25/2024
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