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Individual
TIMOTHY ALLDREDGE
Active
Individual
TIMOTHY ALLDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C.1500509
OH
101YM0800X
Mental Health Counselor
C.1500509
OH
101YM0800X
Mental Health Counselor
Primary
E.1901094
OH
Other
Enumeration date
07/25/2016
Last updated
08/27/2020
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