Individual
TIMOTHY ALAN BIRT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, NCC, LPC, LMFT
Contact information
Practice address
621 OLD STAGE RD, AUBURN, AL 36830-4958
(334) 744-1629
Mailing address
300 OPELIKA RD 3341, AUBURN, AL 36831-5256
(344) 744-1629
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3077
AL
101YP2500X
Professional Counselor
LPC006956
GA
106H00000X
Marriage & Family Therapist
380
AL
106H00000X
Marriage & Family Therapist
MFT001269
GA
Other
Enumeration date
09/13/2012
Last updated
09/10/2019
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