Individual provider · Type 1 NPI

Pamela Jo Tippey-Herrick, LCPC

Mental Health Counselor · Lewistown, IL

NPI number 1376788067 Active

Practice location

16249 E Red Maple Ln
Lewistown, IL 61542-9273

Call (209) 547-2117 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180006970 (IL)

Mental Health Counselor: Definition to come...

About NPI 1376788067

Pamela Jo Tippey-Herrick, LCPC's National Provider Identifier is 1376788067, issued on Dec 9, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lewistown, IL. The record was last updated on Dec 9, 2008.