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NPI Code Detail

MEDICARE: MRS. NATASHA RUTHANN WIPPEL LMFTA

MEDICARE:  MRS. NATASHA RUTHANN WIPPEL  LMFTA
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
1106H00000XMarriage & Family Therapist11079ANC

General Provider Information

NPI Number : 1679028138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATASHA RUTHANN WIPPEL LMFTA
Provider Business Mailing Address
First Line : 8712 LINDHOLM DR
Second Line : SUITE 300
City : HUNTERSVILLE
State : NC
Zip : 28078-1870
Country : US
Telephone Number : 704-659-3769
Fax Number :
Provider Business Practice Location Address
First Line : 8712 LINDHOLM DR
Second Line : SUITE 300
City : HUNTERSVILLE
State : NC
Zip : 28078-1870
Country : US
Telephone Number : 704-659-3769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2016
Last Update Date : 08/24/2016

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Directions to “ MRS. NATASHA RUTHANN WIPPEL LMFTA” Practice Location

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