Individual
TIMOTHY JAMES HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPS, LPCC, LADC
Contact information
Practice address
3033 EXCELSIOR BLVD, MINNEAPOLIS, MN 55416-4688
(612) 460-0485
Mailing address
2123 BAY DR, LINO LAKES, MN 55038-4690
(231) 330-4975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306056
MN
101YM0800X
Mental Health Counselor
Primary
4663
MN
Other
Enumeration date
09/09/2021
Last updated
02/07/2025
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