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Individual
TIMOTHY PRIMEAUX
Active
Individual
TIMOTHY PRIMEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, SUDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60324713
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60298435
WA
101YM0800X
Mental Health Counselor
Primary
LH60324713
WA
Other
Enumeration date
08/06/2013
Last updated
11/04/2022
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