Individual provider · Type 1 NPI

Timothy C. Merry

Professional Counselor · Riverside, CA

NPI number 1669512232 Active

Practice location

1405 Spruce St
Riverside, CA 92507-2464

Mailing address

1405 Spruce St Ste A
Riverside, CA 92507-2410

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600XNone listed
Rehabilitation Practitioner 225400000XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1669512232

Timothy C. Merry's National Provider Identifier is 1669512232, issued on Feb 6, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Riverside, CA. The record was last updated on Jul 29, 2016.