TIMOTHY THOMAS

FAIRBANKS, AK
NPI1912562646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-05-08
Last Update Date2020-03-06
Business Address
TIMOTHY THOMAS
542 4TH AVE STE B101
FAIRBANKS, AK 99701-4707
Phone number: 907-374-1097
Mailing Address
TIMOTHY THOMAS
1087 TAZLINA CT
FAIRBANKS, AK 99701-1421
Phone number:
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