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-- TIMOTHY GILLIS -- LPC, LPCS, MAC, CDCI

Individual Provider (NPI-1) Active

Counselor, Professional

Provider Information

NPI Number
1154639763
Provider Type
Individual Provider (NPI-1)
Credentials
LPC, LPCS, MAC, CDCI
Status
Active

Contact & Location

Address
110 N WILLOW ST, KENAI, AK, 996117701
Phone
(907) 398-0524
Fax
(888) 678-2961

Specialties & Taxonomies

Counselor, Professional Primary License: AK #624
Counselor, Addiction (Substance Use Disorder) License: AK #508906

All Addresses

MAILING

PO BOX 1692

KENAI, AK, 996111692

(907) 398-0524

LOCATION

110 N WILLOW ST

KENAI, AK, 996117701

(907) 398-0524