Individual provider · Type 1 NPI

Tim J. Pine

Mental Health Counselor · Grants Pass, OR

NPI number 1316753296 Active

Practice location

324 SW Ramsey Ave
Grants Pass, OR 97527-5529

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316753296

Tim J. Pine's National Provider Identifier is 1316753296, issued on Dec 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Dec 5, 2024.