Individual
MANDY LYNN TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1108 E PATTERSON ST STE 5, KIRKSVILLE, MO 63501-4002
(660) 951-2197
(417) 944-1440
Mailing address
60377 ORION RD, GREEN CITY, MO 63545-2229
(660) 292-0246
(417) 944-1440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018020715
MO
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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