Individual
AMBER KIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 NE 26TH ST # 1239, WILTON MANORS, FL 33305-1239
(954) 390-7654
Mailing address
819 NE 26TH ST # 1239, WILTON MANORS, FL 33305-1239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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