TIMOTHY LYDON

SANTA ROSA, CA
NPI1548082795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
TIMOTHY LYDON CRC
2285 CHALLENGER WAY
SANTA ROSA, CA 95407-5418
Phone number: 707-524-6895
Mailing Address
TIMOTHY LYDON CRC
2285 CHALLENGER WAY
SANTA ROSA, CA 95407-5418
Phone number: