Individual
TIMOTHY HOWARD MINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LADAC II
Contact information
Practice address
11618 CHAPMAN HWY, SEYMOUR, TN 37865-3910
(865) 505-2813
Mailing address
11618 CHAPMAN HWY, SEYMOUR, TN 37865-3910
(865) 505-2813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1417
TN
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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