TIMOTHY GILLEAND

FORT WAYNE, IN
NPI1598233827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39003378A)
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
TIMOTHY GILLEAND
4150 ILLINOIS RD
FORT WAYNE, IN 46804-1208
Phone number: 877-594-9204
Mailing Address
TIMOTHY GILLEAND
360 POPLAR ST
HUNTINGTON, IN 46750-2638
Phone number: 574-850-3501
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