Individual
LACEY TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
3225 OZARK ST, LITTLE ROCK, AR 72205-4338
(501) 666-5612
Mailing address
3225 OZARK ST, LITTLE ROCK, AR 72205-4338
(501) 666-5612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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