Organization
D THOMAS TIPP LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID THOMAS TIPP LCSW (OWNER)
(804) 339-7553
Entity
Organization
Contact information
Practice address
9511 HULL STREET ROAD, MIDLOTHIAN, VA 23112-3407
(804) 339-7553
(804) 745-4742
Mailing address
9511 HULL STREET RD STE B1, NORTH CHESTERFIELD, VA 23236-2600
(804) 339-7553
(804) 745-4742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904000857
VA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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