Individual
MR. KIPP ANTHONY OPPERMAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBS, LPC
Contact information
Practice address
316 E JACKSON AVE, MCALESTER, OK 74501-4125
(918) 916-7367
Mailing address
316 E JACKSON AVE, MCALESTER, OK 74501-4125
(918) 916-7367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2366
OK
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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