Individual provider · Type 1 NPI

Tim Fennell, PhD

Professional Counselor · Chamblee, GA

NPI number 1356618201 Active

Practice location

3990 Clairmont Rd
Chamblee, GA 30341-4938

Fax (877) 260-8720

Mailing address

5703 Red Bug Lake Rd # 518
Winter Springs, FL 32708-4969

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC009594 (GA)

Professional Counselor: Definition to come...

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About NPI 1356618201

Tim Fennell, PhD's National Provider Identifier is 1356618201, issued on Nov 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chamblee, GA. The record was last updated on Nov 12, 2019.