CHERI JAN TIPTON

SHAWNEE, OK
NPI1306962766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  8530351294)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- CHERI JAN TIPTON
1414 N KENNEDY AVE
SHAWNEE, OK 74801-4700
Phone number: 405-275-3391
Mailing Address
-- CHERI JAN TIPTON
1414 N KENNEDY AVE
SHAWNEE, OK 74801-4700
Phone number: 405-275-3391