Individual
MR. TIM FREDRIK E. EDQUILAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
18564 W ACACIA DR, GOODYEAR, AZ 85338-7889
(862) 345-7876
Mailing address
18564 W ACACIA DR, GOODYEAR, AZ 85338-7889
(862) 345-7876
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00527600
NJ
101YP2500X
Professional Counselor
Primary
LPC-17764
AZ
Other
Enumeration date
08/13/2015
Last updated
05/06/2025
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