Individual
MR. TIMOTHY ARTHUR BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
W3272 WOLF RIVER DRIVE, KESHENA, WI 54135-9202
(715) 799-3861
(715) 799-3517
Mailing address
P.O BOX 280, KESHENA, WI 54135-0280
(715) 799-3861
(715) 799-3517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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