Individual provider · Type 1 NPI

Timothy Lydon, CRC

Mental Health Counselor · Santa Rosa, CA

NPI number 1548082795 Active

Practice location

2285 Challenger Way
Santa Rosa, CA 95407-5418

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548082795

Timothy Lydon, CRC's National Provider Identifier is 1548082795, issued on Oct 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 29, 2024.