Individual
MR. CHRISTOPHER DOUGLAS TIMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3905 S DENNIS ST, KENNEWICK, WA 99337-3131
(360) 450-7068
Mailing address
3905 S DENNIS ST, KENNEWICK, WA 99337-3131
(360) 450-7068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L4218
OR
1041C0700X
Clinical Social Worker
Primary
LW00009151
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW00009151
LICENSED CLINICAL SOCIAL WORKER
—
Enumeration date
11/16/2018
Last updated
11/12/2021
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