Individual
MR. TIMOTHY DAVID GYSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
1786 MASTERS DR, BANNING, CA 92220-6671
(760) 845-5043
Mailing address
1786 MASTERS DR, BANNING, CA 92220-6671
(760) 845-5043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFC22937
CA
Other
Enumeration date
03/08/2007
Last updated
01/21/2010
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