Individual
ANDREA TIPPIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A, LPC-A
Contact information
Practice address
205 MEMORIAL DR, PINEHURST, NC 28374-8712
(910) 295-6853
Mailing address
1979 PUTTERS CIR, SANFORD, NC 27332-8369
(318) 518-7598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-20895
NC
101YM0800X
Mental Health Counselor
A11298
NC
Other
Enumeration date
08/29/2014
Last updated
05/22/2015
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