Individual
MS. AMANDA KAY PIPINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24919 S 4420 RD, VINITA, OK 74301-5529
(918) 256-9125
Mailing address
16756 HIGHWAY 2, BLUEJACKET, OK 74333
(918) 256-9125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
4264
OK
Other
Enumeration date
09/29/2008
Last updated
12/01/2009
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