Individual provider · Type 1 NPI

Tim Farrelly, MS

Addiction (Substance Use Disorder) Counselor · Flagstaff, AZ

NPI number 1407868615 Active

Practice location

2187 N Vickey St
Flagstaff, AZ 86004-6106

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-10411 (AZ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407868615

Tim Farrelly, MS's National Provider Identifier is 1407868615, issued on Aug 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Flagstaff, AZ. The record was last updated on Jul 8, 2007.