TIMOTHY GILLIS, LPC, LPCS, MAC, CDCI

Counselor - Professional

Active Individual
NPI: 1154639763

Practice Address

110 N WILLOW ST
Kenai, AK 99611

Phone: (907) 398-0524

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 624 (AK)
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 508906 (AK)

Frequently Asked Questions

NPI 1154639763 is the National Provider Identifier for TIMOTHY GILLIS, LPC, LPCS, MAC, CDCI, a Counselor - Professional provider located in Kenai, AK. This NPI was enumerated on September 16, 2010.
TIMOTHY GILLIS, LPC, LPCS, MAC, CDCI practices at 110 N WILLOW ST, Kenai, AK 99611.

Quick Facts

NPI
1154639763
Type
Individual
Enumerated
Sep 16, 2010
Last Updated
Jan 30, 2017

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