Individual
MS. DANIELLE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
22214 D ST, WINFIELD, KS 67156-7376
(620) 442-4540
(620) 442-4559
Mailing address
22214 D ST, WINFIELD, KS 67156-7376
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAC 540
KS
1041C0700X
Clinical Social Worker
Primary
2028
KS
Other
Enumeration date
09/20/2006
Last updated
06/21/2016
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