Individual
AMY J TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC, LICDC
Contact information
Practice address
1776 TREMAINSVILLE RD, TOLEDO, OH 43613-4039
(419) 214-0606
Mailing address
1946 N 13TH ST STE 420, TOLEDO, OH 43604-7264
(419) 720-9247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.131086
OH
101YP2500X
Professional Counselor
Primary
E.1000039-SUPV
OH
Other
Enumeration date
02/04/2015
Last updated
03/17/2018
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