Timothy Earl Blair
Individual provider Active NPI Counselor · University Place, WA
NPI 1316708167 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1316708167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 7610 40TH St W Ste 300
University Place, WA 98466-3834 - Phone
- (253) 830-6242
- NPI assigned
- Jan 18, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Community Services of Western Washington | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
7610 40TH St W Ste 300
University Place, WA 98466-3834
Mailing address
7610 40TH St W Ste 300
University Place, WA 98466-3834
Phone (253) 830-6242
Other providers in University Place, WA
- Maksym Bilan
- Bionic Design, Inc
- Brigette Bishop
- Donna Bishop
- Christine Blackburn
- Ahmear T Bland
- Kyle Travis Blevins
- Blue Mountain Behavioral Health PLLC
- Blue Peacock Acupuncture LLC
- Bluestone Wellness PLLC
All providers in University Place, WA · Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.