person
Timothy Jerreal Wooten, LCMHC-A,LCAS-A,NCC
Mental Health Counselor in Durham, North Carolina
NPI 1679195960

Timothy Jerreal Wooten is a Mental Health Counselor based in Durham, NC and is specialized in Mental Health. Timothy Jerreal Wooten practices in Durham, NC and has the professional credentials of LCMHC-A,LCAS-A,NCC. The NPI Number for Timothy Jerreal Wooten is 1679195960 and holds a License No. 25834 (North Carolina).

The current practice location address for Timothy Jerreal Wooten is 3708 Lyckan Pkwy Ste 205, Durham, NC and can be reached out via phone at 919-809-9846 and via fax at 919-516-0057.

Location: 3708 Lyckan Pkwy Ste 205, Durham, NC, 27707-2004
person
Provider Profile Details
NPI Number
1679195960
Provider Name
Timothy Jerreal Wooten
Credential
LCMHC-A,LCAS-A,NCC
Provider Entity Type
Individual
Gender
Male
Address
3708 Lyckan Pkwy Ste 205, Durham, NC, 27707-2004
Phone Number
919-809-9846
Fax Number
919-516-0057
Provider Enumeration Date
05/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3708 Lyckan Pkwy Ste 205
City
State
Zip
27707-2586
Phone Number
919-809-9846
Fax Number
919-516-0057
person
Provider Business Mailing Address Details
Address
3708 Lyckan Pkwy Ste 205
City
State
Zip
27707-2586
Phone Number
919-809-9846
Fax Number
919-516-0057
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A15640 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
25834 (North Carolina)
Definition
Definition to come...
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