| Doctor Name: | MARY KAY TRIPPE |
| NPI Number: | 1346306081 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 6401001054 |
| Business Practice Address: | 3180 Racquet Club Dr Ste G Traverse City, MI - 496844797 |
| Business Phone Number: | 2319334009 |
| Business Fax Number: | 2319334032 |
| Mailing Address: | Po Box 2257, CHESTERTON |
| State: | IN |
| Postal Code: | 463040357 |
| Phone Number: | 2199268320 |
| Fax Number: | 2199263524 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 12/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 6401001054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |