Individual provider · Type 1 NPI

Timothy Jerreal Wooten, LCMHC-A, LCAS-A, NCC

Mental Health Counselor · Durham, NC

NPI number 1679195960 Active

Practice location

3708 Lyckan Pkwy Ste 205
Durham, NC 27707-2586

Call (919) 809-9846 Map

Fax (919) 516-0057

Mailing address

18 Balmoray Ct Apt 5
Durham, NC 27707-2004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X25834 (NC)
Mental Health Counselor Primary 101YM0800XA15640 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1679195960

Timothy Jerreal Wooten, LCMHC-A, LCAS-A, NCC's National Provider Identifier is 1679195960, issued on May 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durham, NC. The record was last updated on May 11, 2020.