Individual
HEATHER KIPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 22ND AVE NW STE 1, MINOT, ND 58703-0986
(701) 839-3909
(701) 839-9071
Mailing address
600 22ND AVE NW STE 1, MINOT, ND 58703-0986
(701) 839-3909
(701) 839-9071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3524
ND
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
3524
ND
Other
Enumeration date
07/13/2012
Last updated
01/04/2024
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