Individual
GRACE A TIPPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
867 PIERCE BUTLER RTE, SAINT PAUL, MN 55104-1522
(763) 339-7506
(651) 204-2134
Mailing address
867 PIERCE BUTLER RTE, SAINT PAUL, MN 55104-1522
(763) 339-7506
(651) 204-2134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305950
MN
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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