Individual
MISS BAILEE ELIZABETH TIPPETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
943 W ANDREWS AVE STE H, HENDERSON, NC 27536-2562
(252) 433-0061
(353) 433-0065
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29095
NC
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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