Individual
KAITLYN TIMBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1349 E STROOP RD, DAYTON, OH 45429-4929
(937) 293-1115
Mailing address
1349 E STROOP RD, DAYTON, OH 45429-4929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1902362
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2018
Last updated
01/27/2020
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