Individual
PHILIP JAMES TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LLPC
Contact information
Practice address
2 CROCKER BLVD, SUITE 101, MT CLEMENS, MI 48043-2558
(586) 468-2266
(586) 468-4505
Mailing address
54835 MARISSA WAY, SHELBY TOWNSHIP, MI 48316-5619
(586) 306-6218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009058
MI
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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