# MR. TIMOTHY J. FURNESS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760515324
- **Gender:** Man
- **Credential:** M.ED.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | LCPC-71 | ID | — |
| 106H00000X | Marriage & Family Therapist | LMFT-40 | ID | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010016659 | REGENCE BLUE SHIELD OF ID | ID |
| 01 | — | Q2966 | BLUE CROSS OF IDAHO | ID |