Individual
TIMOTHY D NEWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
203 UNITED WAY DRIVE, FREDERIC, WI 54837-8938
(715) 327-4402
(715) 327-8509
Mailing address
203 UNITED WAY DRIVE, FREDERIC, WI 54837-8938
(715) 327-4402
(715) 327-8509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
476-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39634700
—
WI
01
—
41B87NE
BCBS OFMN
MN
01
—
6202881
UNITED BEHAVIORAL HEALTH
MN
01
—
855751020906
PREFERRED ONE
MN
01
—
HP30378
HEALTH PARTNERS
MN
Enumeration date
02/21/2007
Last updated
07/09/2007
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