Individual
TIMOTHY MICHAEL BAMBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RESIDENT COUNSELING
Contact information
Practice address
31 S BRADDOCK ST, WINCHESTER, VA 22601-4160
(554) 535-1111
(540) 450-1205
Mailing address
31 S BRADDOCK ST, WINCHESTER, VA 22601-4160
(554) 535-1111
(540) 450-1205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0719000028
VA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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