Provider Demographics
NPI:1023369931
Name:TIMBERS, VERONICA LEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:LEE
Last Name:TIMBERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:284 EXECUTIVE PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1833
Mailing Address - Country:US
Mailing Address - Phone:704-939-1100
Mailing Address - Fax:704-939-1173
Practice Address - Street 1:132 POPLAR GROVE CONNECTOR
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5915
Practice Address - Country:US
Practice Address - Phone:828-264-8759
Practice Address - Fax:828-268-9458
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2017-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
C0078901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical