Individual
MRS. MARCILLA D TIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2539 ELIOT ST, DENVER, CO 80211-4709
(303) 455-3767
Mailing address
2539 ELIOT ST, DENVER, CO 80211-4709
(303) 455-3767
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
690
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72632771
—
CO
Enumeration date
06/11/2008
Last updated
03/28/2014
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