Timothy Paul Landry, LCSW
NPI #1700340270 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1700340270
- Entity Type
- Individual
- Name
- Timothy Paul Landry, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW
- Enumeration Date
- Jan 29, 2019
- Last Updated
- Mar 5, 2019
Practice Location
- Address
- 1450 BIRCH AVE
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-1417
- Phone
- (503) 347-0003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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