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Individual

JEFFREY TIPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
517 3RD AVE, CHESAPEAKE, OH 45619-1036
(740) 451-1455
Mailing address
517 3RD AVE, CHESAPEAKE, OH 45619-1036
(740) 451-1455

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187046
KY

Other

Enumeration date
01/12/2024
Last updated
01/12/2024
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