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Individual

MRS. BARBARA A TIMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0099491
NM
101YP2500X
Professional Counselor
Primary
0099491
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
M1855
NM
05
M1919
NM
01
NM600109
VALUE OPTIONS
NM
Enumeration date
03/14/2007
Last updated
03/14/2014
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