Individual
REGINA C TIPPETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
505 NYGREEN ST, GRANTSVILLE, UT 84029-9421
(801) 455-0361
Mailing address
505 NYGREEN ST, GRANTSVILLE, UT 84029-9421
(801) 455-0361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2890226004
UT
101YP2500X
Professional Counselor
Primary
2890226004
UT
Other
Enumeration date
03/21/2006
Last updated
01/13/2014
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