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Individual
TIMOTHY A BERLIN
Active
Individual
TIMOTHY A BERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCC, SUPERVISOR
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E,0007988-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268768
—
OH
Enumeration date
09/13/2010
Last updated
09/29/2022
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