Provider Demographics
NPI:1497941579
Name:PIPPINGER, DANIEL C (LMFT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:PIPPINGER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18657 STATE HWY 305; STE 3
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370
Mailing Address - Country:US
Mailing Address - Phone:360-779-7921
Mailing Address - Fax:888-379-3426
Practice Address - Street 1:18657 STATE HWY 305; STE 3
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370
Practice Address - Country:US
Practice Address - Phone:360-779-7921
Practice Address - Fax:888-379-3426
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002544106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist