Worden, Timothy J
Worden, Timothy J is an sole proprietor health care provider with primary practice located at 1160 N Dutton Ave Ste 230 , Santa Rosa CA 95401-4658. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Worden, Timothy J can be contacted via phone (707) 303-3201.Contact Information
Primary practice address
1160 N Dutton Ave Ste 230
Santa Rosa CA 95401-4658
Phone: (707) 303-3201
Fax: (707) 526-8310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSY19475 | California |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | PSY19475 | California |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PSY19475 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY19475 | California |
Profile Details
| NPI number | 1447488127 |
|---|---|
| LBN Legal business name | Worden, Timothy J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Jul 21st, 2022 - about 4 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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