Tim Enevoldsen M.ed., Lpc-S, Pllc

NPI #1184174609 in Amarillo, Texas

Provider Information

NPI Number
1184174609
Entity Type
Organization
Organization Name
Tim Enevoldsen M.ed., Lpc-S, Pllc
Primary Specialty
Counselor - Professional
Enumeration Date
Oct 7, 2016
Last Updated
Oct 7, 2016

Practice Location

Address
6666 W AMARILLO BLVD
Address 2
SUITE 4
State
Texas
ZIP Code
79106-1756
Phone
(806) 570-3775

Authorized Official

Name
MR. TIMOTHY JOHN ENEVOLDSEN, M.ED.,LPCS,LMFT,LCDC
Title
THERAPIST
Phone
(806) 570-3775

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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