Individual
MARY EMALIE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2055 S PACHECO ST, SANTA FE, NM 87505-3997
(505) 702-8112
Mailing address
17 AMORAK RD, RANCHOS DE TAOS, NM 87557-8720
(575) 224-1112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2023-0901
NM
Other
Enumeration date
01/25/2012
Last updated
02/27/2025
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