Individual
DR. TIMOTHY LAWRENCE MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
336 S HALIFAX DR, ORMOND BEACH, FL 32176-8111
(386) 677-5376
(386) 673-5347
Mailing address
6 HANOVER DR, FLAGLER BEACH, FL 32136-4932
(386) 439-6231
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
MH3217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH3217
STATE LICENSE NUMBER
FL
Enumeration date
05/25/2007
Last updated
07/09/2007
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