Individual
AMY A KIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11467 HUEBNER RD STE 251, SAN ANTONIO, TX 78230-1073
(503) 389-5504
Mailing address
11467 HUEBNER RD STE 251, SAN ANTONIO, TX 78230-1073
(503) 389-5504
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202277
TX
106H00000X
Marriage & Family Therapist
T0879
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12684503
CAQH
TX
Enumeration date
07/19/2012
Last updated
04/17/2019
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