Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY GILLIS, LPC, LPCS, MAC, CDCI
Active Sole ProprietorTIMOTHY GILLIS, LPC, LPCS, MAC, CDCI is a Professional Counselor healthcare provider located in KENAI, Alaska. NPI 1154639763 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · KENAI, AK
Registration Details
- NPI Number
- 1154639763
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2010 (15.723368242259 yrs)
- Last Updated
- Jan 30, 2017
- Licenses
-
624 (AK)508906 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 N WILLOW STKENAI, AK, 996117701Browse AK providers · Browse ZIP 99611
- Phone
- 9073980524
- Fax
- 8886782961
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Professional Counselor Providers in KENAI, AK
| Name | Credential | NPI |
|---|---|---|
| LACY DANIEL | LPC | 1780193599 |
| MARY JO METTLER | LPC | 1437638178 |
| MRS. JULIE LYNETTE DRAVIS | LPC, MAC, CDCI | 1174097422 |
| COLLEEN ROBERTIA | LPC | 1598328841 |
| ERICA NICOLE LONG | LPC | 1942849385 |
| MEGAN GATLIN | — | 1386539385 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.