Individual
JENNIFER LEE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-2
Contact information
Practice address
155 W 68TH ST APT 1228, NEW YORK, NY 10023-5818
(917) 623-5293
Mailing address
155 W 68TH ST APT 1228, NEW YORK, NY 10023-5818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34803
NY
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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