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Individual
MR. TIMOTHY ROBERT MCKAY
Active
Individual
MR. TIMOTHY ROBERT MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2392
CT
106H00000X
Marriage & Family Therapist
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1324623
BUSINESS ID
CT
01
—
14611280
CAQH
—
01
—
84-3402714
IRS
—
Enumeration date
08/22/2019
Last updated
11/11/2024
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