Doctor Name: | MS. GENIS R TIMMERMAN |
NPI Number: | 1457708927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.M.F.T. |
License Number: | TXM4710 |
Business Practice Address: | 66 Stone St Augusta, ME - 043305227 |
Business Phone Number: | 2076263455 |
Business Fax Number: | |
Mailing Address: | 66 Stone St, AUGUSTA |
State: | ME |
Postal Code: | 043305227 |
Phone Number: | 2076263455 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2016 |
NPI Last Update Date: | 05/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | TXM4710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |