Individual
ANDREW ELLIOT TIMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
201 FAIR ST, PETALUMA, CA 94952-2516
(707) 778-4779
Mailing address
2009 CROSS CREEK ST, PETALUMA, CA 94954-1817
(707) 416-1171
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
134499
CA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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