Individual
TIMOTHY CHRISTOPHER MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 E LAKE AVE, WATSONVILLE, CA 95076-4826
(831) 728-6445
(831) 728-6249
Mailing address
335 E LAKE AVE, WATSONVILLE, CA 95076-4826
(831) 728-6445
(831) 728-6249
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC5596
CA
Other
Enumeration date
09/27/2016
Last updated
09/19/2018
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