Individual provider · Type 1 NPI

Timothy Gillis, LPC, LPCS, MAC, CDCI

Professional Counselor · Kenai, AK

NPI number 1154639763 Active

Practice location

110 N Willow St
Kenai, AK 99611-7701

Call (907) 398-0524 Map

Fax (888) 678-2961

Mailing address

PO Box 1692
Kenai, AK 99611-1692

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X624 (AK)
Addiction (Substance Use Disorder) Counselor 101YA0400X508906 (AK)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1154639763

Timothy Gillis, LPC, LPCS, MAC, CDCI's National Provider Identifier is 1154639763, issued on Sep 16, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kenai, AK. The record was last updated on Jan 30, 2017.