Individual
MR. TIMOTHY JOHN WARME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1001 MISSISSIPPI AVE NW, BEMIDJI, MN 56601-4534
(218) 444-9420
Mailing address
1001 MISSISSIPPI AVE NW, BEMIDJI, MN 56601-4534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302305
MN
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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