Individual
DAVID TERRY TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
2785 N MAIN ST STE 101B, HAZARD, KY 41701-5910
(606) 224-8451
Mailing address
311 WALKER LN, LONDON, KY 40744-9036
(606) 224-8451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105743
KY
101YM0800X
Mental Health Counselor
KY0319
KY
Other
Enumeration date
01/02/2024
Last updated
02/09/2024
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