Individual provider · Type 1 NPI

Jodie Tipton, LAC

Mental Health Counselor · Conway, AR

NPI number 1467937664 Active

Practice location

2215 E Oak St Ste 1
Conway, AR 72032-4644

Fax (501) 336-4037

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA1808101 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1467937664

Jodie Tipton, LAC's National Provider Identifier is 1467937664, issued on Oct 3, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, AR. The record was last updated on Oct 3, 2018.