Individual
ALEXIS M TIPPMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1631 MAIN ST, COLUMBIA, SC 29201-2817
(803) 567-1217
Mailing address
954 RED FOX RD, CAMDEN, SC 29020-9329
(803) 272-1078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18263
SC
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
03/05/2026
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