Individual
TIMOTHY BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
511 GRIFFIN RD, WEST BRANCH, MI 48661-9251
(989) 345-5571
(989) 345-4111
Mailing address
511 GRIFFIN RD, WEST BRANCH, MI 48661-9251
(989) 345-5571
(989) 345-4111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014891
MI
Other
Enumeration date
08/20/2015
Last updated
09/02/2015
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