Individual
TIMOTHY PATRICK FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3001 BANKS MILL RD, AIKEN, SC 29803-8481
(803) 649-3096
Mailing address
5304 PLEASANT POINTE DR, WARRENVILLE, SC 29851-3265
(803) 292-9188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6907
SC
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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