Individual provider · Type 1 NPI

Kipp Dana, LPC

Professional Counselor · Afton, WY

NPI number 1386825446 Active

Practice location

389 Adams
Afton, WY 83110-0376

Mailing address

404 North Sprague Creek Rd., P.o Box 24
Fairview, WY 83119-0024

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLAT-220 (WY)
Mental Health Counselor 101YM0800XLCPC3048 (ID)
Professional Counselor Primary 101YP2500XLPC-550 (WY)

Professional Counselor: Definition to come...

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About NPI 1386825446

Kipp Dana, LPC's National Provider Identifier is 1386825446, issued on Nov 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Afton, WY. The record was last updated on Dec 14, 2015.