Individual
TIMOTHY WALTER FLAHARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1110 E CHAPMAN AVE STE 203, ORANGE, CA 92866-2139
(443) 910-1262
Mailing address
5332 CALIENTE DR, HUNTINGTON BEACH, CA 92649-2618
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7896
CA
Other
Enumeration date
09/13/2017
Last updated
07/10/2020
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