Individual
JESSIKAH LEE KIPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PPC
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(844) 895-7325
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(844) 895-7325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1183
WY
Other
Enumeration date
06/02/2020
Last updated
02/05/2021
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