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Individual
TIMOTHY JAMES BRINNON
Active
Individual
TIMOTHY JAMES BRINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA CPRS QMHS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
186978
OH
106S00000X
Behavior Technician
Primary
186978
OH
175T00000X
Peer Specialist
APS.005080
OH
Other
Enumeration date
04/02/2024
Last updated
12/13/2024
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