Individual
DANIEL TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W BROADWAY STE 107, COUNCIL BLUFFS, IA 51503-4489
(712) 328-3700
Mailing address
2125 S 35TH AVE, OMAHA, NE 68105-3131
(402) 594-3664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
073697
IA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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