Individual
MANDI TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1237 W DIVIDE AVE, SUITE 5, BISMARCK, ND 58501-1220
(701) 328-8833
Mailing address
1237 W DIVIDE AVE, SUITE 5, BISMARCK, ND 58501-1220
(701) 328-8833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1726
ND
Other
Enumeration date
04/28/2014
Last updated
11/25/2015
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