Individual
TIMOTHY JAY TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC MHSP
Contact information
Practice address
1400 MCCALLIE AVE, SUITE 220, CHATTANOOGA, TN 37404-2927
(423) 255-7317
Mailing address
1400 MCCALLIE AVE, SUITE 220, CHATTANOOGA, TN 37404-2927
(423) 255-7317
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2884
TN
Other
Enumeration date
02/23/2013
Last updated
02/23/2013
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