Individual
ALLIE BIPPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
620 N AURORA ST, STOCKTON, CA 95202-2343
(209) 468-9370
Mailing address
PO BOX 16576, PORTLAND, OR 97292-0576
(503) 465-2749
(503) 208-2596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
THW000003913
OR
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
04/11/2025
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