Individual
MR. CLYDE ANTHONY LIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1701 RIVER DR STE 110, MOLINE, IL 61265-1384
(309) 762-5433
(309) 762-4481
Mailing address
1701 RIVER DR STE 110, MOLINE, IL 61265-1384
(309) 762-5433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-003329
IL
Other
Enumeration date
10/25/2006
Last updated
05/12/2021
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