Lookup NPI Numbers from the NPI Registry
NPI Profile for TIMOTHY GILLIS in KENAI, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1154639763 |
|
| Status | Active | |
| Credentials | LPC, LPCS, MAC, CDCI | |
| Entity | Individual | |
| Enumeration date | 09/16/2010 | |
| Last updated | 01/30/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TIMOTHY GILLIS
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TIMOTHY GILLIS, LPC, LPCS, MAC, CDCI