Individual
MR. THOMAS L LIPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 E GREEN ST STE 500, ITHACA, NY 14850-5635
(607) 274-6288
Mailing address
665 CODDINGTON RD APT 5, ITHACA, NY 14850-6056
(607) 272-3028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC 11208
NY
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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