Individual
MR. TIMOTHY JOHN CREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3355 N. UNIVERSITY AVE., STE. 250, PROVO, UT 84604-6640
(559) 789-2503
(801) 503-9833
Mailing address
430 E. DEER RIDGE DR., MIDWAY, UT 84049-4500
(559) 789-2503
(801) 503-9833
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10438004-3902
UT
106H00000X
Marriage & Family Therapist
46921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6353
COUNTY ISSUED NUMBER
CA
Enumeration date
11/27/2006
Last updated
11/29/2024
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