Individual
TIMM C LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
44 ALGONQUIN TRL, SANDY HOOK, CT 06482-1436
(203) 364-7707
Mailing address
44 ALGONQUIN TRL, SANDY HOOK, CT 06482-1436
(203) 364-7707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5769
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5769
DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
10/04/2022
Last updated
10/04/2022
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