Individual
CARISSA JANEL TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
(330) 264-0946
Mailing address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
(330) 264-0946
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2304630-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Enumeration date
01/24/2022
Last updated
01/25/2023
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