| Doctor Name: | TIMSON JOHN LATIMER |
| NPI Number: | 1205915949 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.M.H.C., L.A.D.C. |
| License Number: | 1111 |
| Business Practice Address: | 94 S Main St Middleboro, MA - 023462123 |
| Business Phone Number: | 5089476100 |
| Business Fax Number: | |
| Mailing Address: | 16 Fuller Dr, PLYMOUTH |
| State: | MA |
| Postal Code: | 023601214 |
| Phone Number: | 5082245197 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 03/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1111 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |