Individual
DR. TIMOTHY A NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
GC-C
Contact information
Practice address
5026 RAINTREE DR, JACKSON, MS 39272-5753
(601) 955-0187
Mailing address
5026 RAINTREE DR, JACKSON, MS 39272-5753
(601) 955-0187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MS
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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