Individual provider · Type 1 NPI

Brooke Timm, CDCA

Addiction (Substance Use Disorder) Counselor · Youngstown, OH

NPI number 1477054955 Active

Practice location

45 N Canfield Niles Rd
Youngstown, OH 44515-2343

Fax (330) 642-8242

Other practice locations

  • 2737 Youngstown Rd SE, Warren, OH 44484-5002 · (330) 369-8022

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility 324500000X165626 (OH)
Substance Abuse Rehabilitation Facility 324500000X168898 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X168898 (OH)

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

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About NPI 1477054955

Brooke Timm, CDCA's National Provider Identifier is 1477054955, issued on Feb 21, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Youngstown, OH. The record was last updated on Mar 23, 2023.