| Timothy Gillis Lpc | |
|
609 Marine Ave Kenai AK 99611-6948 | |
| (907) 397-0528 | |
| Not Available |
| Full Name | Timothy Gillis Lpc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 609 Marine Ave, Kenai, Alaska |
| Authorized Official Name and Position | Micha Savage (OFFICE MANAGER) |
| Authorized Official Contact | 9073980528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Gillis Lpc Po Box 1692 Kenai AK 99611-1692 Ph: (907) 398-0528 | Timothy Gillis Lpc 609 Marine Ave Kenai AK 99611-6948 Ph: (907) 397-0528 |
| NPI Number | 1356035190 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356035190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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