Individual
TIMOTHY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043-1648
(323) 295-4555
Mailing address
1126 N GRAND AVE, COVINA, CA 91724-1551
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18216
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2019
Last updated
02/10/2025
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