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Individual
TIMOTHY JOSEPH GAITHER
Active
Individual
TIMOTHY JOSEPH GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.016277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.016277
LICENSED PROFESSIONAL COUNSELOR
IL
Enumeration date
09/14/2020
Last updated
06/22/2022
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