Individual
MR. TIMOTHY JAMES MARCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
821 E 1ST AVE STE 5, APPLETON, WI 54911-1586
(920) 358-0092
Mailing address
821 E 1ST AVE STE 5, APPLETON, WI 54911-1586
(920) 358-0092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12067
TX
101YP2500X
Professional Counselor
65633
TX
101YP2500X
Professional Counselor
Primary
7081-125
WI
Other
Enumeration date
03/06/2014
Last updated
07/31/2020
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