| Doctor Name: | MR. CHRISTOPHER MARK TIPPETS |
| NPI Number: | 1962745182 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 7359380-3502 |
| Business Practice Address: | 592 W 1350 S Woods Cross, UT - 840108180 |
| Business Phone Number: | 8012995317 |
| Business Fax Number: | |
| Mailing Address: | 1284 W 2050 S, WOODS CROSS |
| State: | UT |
| Postal Code: | 840872381 |
| Phone Number: | 8018368329 |
| Fax Number: | |
| NPI Enumeration Date: | 04/05/2013 |
| NPI Last Update Date: | 04/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7359380-3502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |