# TIMOTHY J CONNELY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740844398
- **Gender:** Man
- **Credential:** M. ED, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | 134548 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2019
- **Last updated:** 10/07/2022