Tim Fennell, PHD Valid NPI

Individual provider · Professional Counselor · Chamblee, GA

NPI

1356618201

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

LPC009594 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-11-21

Last updated

2019-11-12