Individual
MRS. KELLY RENEE TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
655 CRAIG RD, SUITE 320, CREVE COEUR, MO 63141-7132
(314) 374-4703
(314) 457-1653
Mailing address
655 CRAIG RD, SUITE 320, CREVE COEUR, MO 63141-7132
(314) 374-4703
(314) 457-1653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006035741
MO
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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