Cory T Tims is a Mental Health in San Pablo, California. Cory T Tims practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Cory T Tims is 1548456940. The last update date is 2007-09-19.
Cory T Tims's current location address is 2523 El Portal Dr, San Pablo, California. You can contact this provider via phone number 5104393130. The mailing address for Cory T Tims is 2523 El Portal Dr, San Pablo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cory T Tims |
|---|---|
| Address | 2523 El Portal Dr, San Pablo, California |
| Phone Number | 5104393130 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548456940 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2007-09-19 |
Provider Mailing Address Detail
| Address | 2523 El Portal Dr |
|---|---|
| City | San Pablo |
| State | California (CA) |
| Post Code | 948063305 |
| Phone Number | 5104393130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Cory T Tims by the Centers for Medicare & Medicaid Services?
The Cory T Tims has been assigned the NPI (National Provider Identifier) 1548456940. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Cory T Tims's physical address?
The Cory T Tims is physically located at 2523 El Portal Dr, in the city of San Pablo, CA, with the postal code 948063305.
What is the Cory T Tims's specialty and taxonomy code?
The Cory T Tims's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
When did Cory T Tims receive its 1548456940 assignment?
The Cory T Tims was assigned its 1548456940 on 2007-09-19, which is the date when this unique identifier was issued to the organization.
As of what date were the Cory T Tims's details last updated?
The information pertaining to the Cory T Tims, including its address, specialty, and other details, was most recently updated on 2007-09-19.
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