Individual
MR. TIMOTHY D DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
22765 US HIGHWAY 98, FAIRHOPE, AL 36532-3499
(251) 473-3410
(251) 476-4454
Mailing address
1340 SLEDGE DR STE B, MOBILE, AL 36606-3000
(251) 473-3410
(251) 476-4454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC02224
AL
101YP2500X
Professional Counselor
Primary
2224
AL
Other
Enumeration date
05/07/2013
Last updated
01/18/2024
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