Provider Demographics
NPI:1205205978
Name:SINNOTT, TIMOTHY E (LMFT, LAADC)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:E
Last Name:SINNOTT
Suffix:
Gender:M
Credentials:LMFT, LAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 CRESPI CIR
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-3255
Mailing Address - Country:US
Mailing Address - Phone:530-271-1140
Mailing Address - Fax:
Practice Address - Street 1:119 CRESPI CIR
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3255
Practice Address - Country:US
Practice Address - Phone:530-271-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALR01300315101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)