Individual
MR. TIMOTHY B TOBIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD MA LCMHC LPC
Contact information
Practice address
FORT DRUM, WATERTOWN, NY 13603
(315) 772-3301
Mailing address
165 VILLAGE CIRCLE WAY, #3, MANCHESTER, NH 03102
(603) 398-3477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3419076004
UT
101Y00000X
Counselor
Primary
641
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MN
101YM0800X
Mental Health Counselor
PC006940
PA
Other
Enumeration date
03/22/2007
Last updated
01/10/2025
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