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Individual
TIMOTHY WAYNE SCARBROUGH
Active
Individual
TIMOTHY WAYNE SCARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
6362009537
MI
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/08/2022
Last updated
01/09/2024
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