TIMOTHY JERREAL WOOTEN

DURHAM, NC
NPI1679195960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A15640)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  25834)
Enumeration Date2020-05-11
Last Update Date2020-05-11
Business Address
TIMOTHY JERREAL WOOTEN LCMHC-A, LCAS-A, NCC
3708 LYCKAN PKWY STE 205
DURHAM, NC 27707-2586
Phone number: 919-809-9846
Mailing Address
TIMOTHY JERREAL WOOTEN LCMHC-A, LCAS-A, NCC
18 BALMORAY CT APT 5
DURHAM, NC 27707-2004
Phone number: 336-504-3384