Individual
DESIREE HIPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 CENTURY DR, MECHANICSBURG, PA 17055-4530
(717) 209-1394
Mailing address
960 CENTURY DR, MECHANICSBURG, PA 17055-4530
(717) 209-1394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777740
—
PA
Enumeration date
06/09/2015
Last updated
06/09/2015
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