Individual
JODIE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2215 E OAK ST STE 1, CONWAY, AR 72032-4644
(501) 336-0511
(501) 336-4037
Mailing address
2215 E OAK ST STE 1, CONWAY, AR 72032-4644
(501) 336-0511
(501) 336-4037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1808101
AR
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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