Individual provider · Type 1 NPI
Liudmila Petrovna Timm, LPCC
Professional Counselor · St. Paul, MN
NPI number
1053487892
Active
Practice location
499 Wacouta St
St. Paul, MN 55101-2355
Mailing address
8626 W Bush Lake Rd
Bloomington, MN 55438-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CC00698 (MN) |
Professional Counselor: Definition to come...
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About NPI 1053487892
Liudmila Petrovna Timm, LPCC's National Provider Identifier is 1053487892, issued on Nov 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on Jan 20, 2014.