Kathy S Phipps, LCDCIII

NPI #1174956452 in Covington, Ohio

Provider Information

NPI Number: 1174956452
Entity Type: Individual
Name: Kathy S Phipps, LCDCIII
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCDCIII
Enumeration Date: Aug 9, 2013
Last Updated: Aug 9, 2013

Practice Location

Address: 4470 N RANGELINE RD
City: Covington
State: Ohio
ZIP Code: 45318-9773
Phone: (937) 418-8075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Case Manager/Care Coordinator	171M00000X
Community Health Worker	172V00000X

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