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1639840549
TIMOTHY CROSSIN
CORVALLIS, OR
NPI
1639840549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0734004729)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
TIMOTHY CROSSIN QMHP-T (A/C)
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6081
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Mailing Address
TIMOTHY CROSSIN QMHP-T (A/C)
4240 NW, NW DUNIWAY DR APT 307
CORVALLIS, OR 97330
Phone number: 804-855-8476
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