person
Tim Farrelly, MS
Addiction (Substance Use Disorder) Counselor in Flagstaff, Arizona
NPI 1407868615

Tim Farrelly is an Addiction (Substance Use Disorder) Counselor based in Flagstaff, AZ and is specialized in Addiction (Substance Use Disorder). Tim Farrelly practices in Flagstaff, AZ and has the professional credentials of MS. The NPI Number for Tim Farrelly is 1407868615 and holds a License No. LISAC-10411 (Arizona).

The current practice location address for Tim Farrelly is 2187 N Vickey St, Flagstaff, AZ and can be reached out via phone at 928-714-6401. You can also correspond with Tim Farrelly through the mailing address at 2187 N VICKEY ST, FLAGSTAFF, AZ - 86004-6106 (mailing address contact number: 928-714-6401).

Location: 2187 N Vickey St, Flagstaff, AZ, 86004-6106
person
Provider Profile Details
NPI Number
1407868615
Provider Name
Tim Farrelly
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
2187 N Vickey St, Flagstaff, AZ, 86004-6106
Phone Number
928-714-6401
Fax Number
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2187 N Vickey St
City
State
Zip
86004-6106
Phone Number
928-714-6401
Fax Number
person
Provider Business Mailing Address Details
Address
2187 N Vickey St
City
State
Zip
86004-6106
Phone Number
928-714-6401
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-10411 (Arizona)
Definition
Definition to come...
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