Individual
TIM VAN DEN BROEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
147 R ST NE APT 8, WASHINGTON, DC 20002-2149
(202) 725-4705
Mailing address
147 R ST NE APT 8, WASHINGTON, DC 20002-2149
(202) 725-4705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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