Individual provider · Type 1 NPI

Donald Shane Tipton

Mental Health Counselor · Fullerton, CA

NPI number 1356413652 Active

Practice location

211 W Commonwealth Ave
Fullerton, CA 92832-1810

Fax (714) 447-7003

Mailing address

3554 W Christine Cir Apt 3
Anaheim, CA 92804-4640

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356413652

Donald Shane Tipton's National Provider Identifier is 1356413652, issued on Nov 14, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fullerton, CA. The record was last updated on Jul 8, 2007.