Gillis, Timothy

Gillis, Timothy is an sole proprietor health care provider with primary practice located at 110 N Willow St , Kenai AK 99611-7701. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gillis, Timothy can be contacted via phone (907) 398-0524.

Contact Information

Primary practice address
110 N Willow St Kenai AK 99611-7701
Phone: (907) 398-0524
Fax: (888) 678-2961
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 624 Alaska
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 508906 Alaska

Profile Details

NPI number 1154639763
LBN Legal business name Gillis, Timothy
Credentials LPC, LPCS, MAC, CDCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2010
Last updated Jan 30th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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