Individual provider · Type 1 NPI
Timothy H. Gilliam, LPC, LMFT
Professional Counselor · Mabank, TX
NPI number
1457536385
Active
Practice location
300 Saint Andrews Dr
Mabank, TX 75156-7281
Fax (903) 451-2232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 61105 (TX) |
| Marriage & Family Therapist | 106H00000X | 200951 (TX) |
Professional Counselor: Definition to come...
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About NPI 1457536385
Timothy H. Gilliam, LPC, LMFT's National Provider Identifier is 1457536385, issued on Jan 9, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mabank, TX. The record was last updated on Jan 9, 2008.