Individual
MR. TIMOTHY LYNN PULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. DIV.
Contact information
Practice address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 954-3763
Mailing address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 954-3763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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