Individual provider · Type 1 NPI
Tim Fredrik E. Edquilag, LPC, NCC
Professional Counselor · Goodyear, AZ
NPI number
1881060804
Active
Practice location
18564 W Acacia Dr
Goodyear, AZ 85338-7889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00527600 (NJ) |
| Professional Counselor Primary | 101YP2500X | LPC-17764 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1881060804
Tim Fredrik E. Edquilag, LPC, NCC's National Provider Identifier is 1881060804, issued on Aug 13, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Goodyear, AZ. The record was last updated on May 6, 2025.