Individual provider · Type 1 NPI

Cory T. Tims

Mental Health Counselor · San Pablo, CA

NPI number 1548456940 Active

Practice location

2523 El Portal Dr
San Pablo, CA 94806-3305

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1548456940

Cory T. Tims's National Provider Identifier is 1548456940, issued on Sep 19, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Pablo, CA. The record was last updated on Sep 19, 2007.