Individual
JANEY TIPPETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
502 N CARVER ST, MIDLAND, TX 79701-3634
(432) 570-3390
Mailing address
502 N CARVER ST, MIDLAND, TX 79701-3634
(432) 570-3390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11032
TX
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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