person
Timothy Gillis, LPC,LPCS,MAC,CDCI
Addiction (Substance Use Disorder) Counselor in Kenai, Alaska
NPI 1154639763

Timothy Gillis is an Addiction (Substance Use Disorder) Counselor based in Kenai, AK and is specialized in Addiction (Substance Use Disorder). Timothy Gillis practices in Kenai, AK and has the professional credentials of LPC,LPCS,MAC,CDCI. The NPI Number for Timothy Gillis is 1154639763 and holds a License No. 624 (Alaska).

The current practice location address for Timothy Gillis is 110 N Willow St, Kenai, AK and can be reached out via phone at 907-398-0524 and via fax at 888-678-2961. You can also correspond with Timothy Gillis through the mailing address at PO BOX 1692, KENAI, AK - 99611-1692 (mailing address contact number: 907-398-0524).

Location: 110 N Willow St, Kenai, AK, 99611-1692
person
Provider Profile Details
NPI Number
1154639763
Provider Name
Timothy Gillis
Credential
LPC,LPCS,MAC,CDCI
Provider Entity Type
Individual
Gender
Male
Address
110 N Willow St, Kenai, AK, 99611-1692
Phone Number
907-398-0524
Fax Number
888-678-2961
Provider Enumeration Date
09/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 N Willow St
City
State
Zip
99611-7701
Phone Number
907-398-0524
Fax Number
888-678-2961
person
Provider Business Mailing Address Details
Address
110 N Willow St
City
State
Zip
99611-7701
Phone Number
907-398-0524
Fax Number
888-678-2961
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
508906 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
624 (Alaska)
Definition
Definition to come...
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