Individual
TIMOTHY JOHN EISENZIMMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2910 7TH ST SW, MINOT, ND 58701-7025
(701) 833-1246
Mailing address
2910 7TH ST SW, MINOT, ND 58701-7025
(701) 833-1246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0019609
CO
101YM0800X
Mental Health Counselor
124510122A
ND
101YP2500X
Professional Counselor
Primary
1245-10-1-22-629
ND
Other
Enumeration date
06/14/2022
Last updated
08/04/2025
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