Individual provider · Type 1 NPI

Timothy Paul Landry, LCSW

Mental Health Counselor · Cottage Grove, OR

NPI number 1700340270 Active

Practice location

1450 Birch Ave
Cottage Grove, OR 97424-1417

Call (503) 347-0003 Map

Mailing address

PO Box 291
Cottage Grove, OR 97424-0010

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XL6526 (OR)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1700340270

Timothy Paul Landry, LCSW's National Provider Identifier is 1700340270, issued on Jan 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cottage Grove, OR. The record was last updated on Mar 5, 2019.