Basic Information
| Provider Information | |||||||||
| NPI: | 1124307269 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KLIPPING | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | GEORGE | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3705 GRAND AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503122805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5157248920 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3705 GRAND AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 503122805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5157248920 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2011 | ||||||||
| LastUpdateDate: | 08/08/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 001433 | IA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.