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Individual
MR. TIMOTHY JAMES MARCY
Active
Individual
MR. TIMOTHY JAMES MARCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12067
TX
101YP2500X
Professional Counselor
65633
TX
101YP2500X
Professional Counselor
Primary
7081-125
WI
Other
Enumeration date
03/06/2014
Last updated
07/31/2020
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