Organization
HEATHER KIPPEN, LCSW, PLLC
Active
Other names
Just Breathe Counseling Services, Just Breathe
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER D KIPPEN LCSW (INDIVIDUAL/FAMILY THERAPIST)
(701) 839-3909
Entity
Organization
Contact information
Practice address
600 22ND AVE NW STE 1, MINOT, ND 58703-0986
(701) 839-3909
(701) 839-9071
Mailing address
600 22ND AVE NW STE 1, MINOT, ND 58703-0986
(701) 839-3909
(701) 839-9071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462801
—
ND
05
—
1477897
—
ND
Enumeration date
06/20/2019
Last updated
01/04/2024
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