TIMOTHY MCCREARY NPI 1386415503

NPI Information

NPI: 1386415503
Provider Name: TIMOTHY MCCREARY
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH
ZIP 45652
Phone: (740) 858-6683
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Timothy Mccreary is an addiction (substance use disorder) counselor in Mc Dermott, OH. Timothy Mccreary NPI is 1386415503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH
ZIP 45652-902
Phone: (740) 858-6683

The enumeration date for this NPI number is 1/16/2024 and was last updated on 1/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		OHIO	No
2	171M00000X	Case Manager/Care Coordinator			OHIO	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.186617	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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