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Individual
MR. TIMOTHY H GILLIAM
Active
Individual
MR. TIMOTHY H GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61105
TX
106H00000X
Marriage & Family Therapist
200951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K-2959622
—
TX
Enumeration date
01/09/2008
Last updated
01/09/2008
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