Individual provider · Type 1 NPI

Timothy Ray Mariels, MA

Mental Health Counselor · Campbell, CA

NPI number 1861748170 Active

Practice location

251 Llewellyn Ave
Campbell, CA 95008-1940

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1861748170

Timothy Ray Mariels, MA's National Provider Identifier is 1861748170, issued on Jul 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Campbell, CA. The record was last updated on Jul 24, 2012.