Individual
MR. CHARLES TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCPC
Contact information
Practice address
2528 N LINCOLN AVE, SUITE 116, CHICAGO, IL 60614-2333
(312) 371-4095
(312) 344-1054
Mailing address
1809 W GRAND AVE, CHICAGO, IL 60622-7716
(312) 371-4095
(312) 344-1054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.005533
IL
Other
Enumeration date
06/30/2011
Last updated
07/19/2011
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