Individual
MR. PATRICE NIPAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, BHT
Contact information
Practice address
6238 W SOUTHGATE ST, PHOENIX, AZ 85043-1908
(602) 544-6075
Mailing address
9431 W VIRGINIA AVE, PHOENIX, AZ 85037-4433
(602) 544-6075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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