Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 9359-S | NV |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1326340332 |
---|---|
Provider Name | Janie M Rippetoe |
First Address | Panaca, NV 89042-0738 |
Second Address | Panaca, NV 89042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2010 |
Last Update Date | 22/10/2021 |