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Individual
DR. TIMOTHY J STAEBELL
Active
Individual
DR. TIMOTHY J STAEBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001117
IA
101YP1600X
Pastoral Counselor
8617
SC
106H00000X
Marriage & Family Therapist
Primary
000309
IA
Other
Enumeration date
12/09/2022
Last updated
03/16/2023
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