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NPI Code Detail

MEDICARE: JOELLE SHIPP LPCA

MEDICARE: JOELLE SHIPP LPCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorA11925NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
133882562OTHERNCDRIVERS LICENSE

General Provider Information

NPI Number : 1548775059
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOELLE SHIPP LPCA
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6060 PIEDMONT ROW DR S STE 500
Second Line :
City : CHARLOTTE
State : NC
Zip : 28287-3803
Country : US
Telephone Number : 980-326-3277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2017
Last Update Date : 08/05/2025

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Directions to “ JOELLE SHIPP LPCA” Practice Location

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