Provider Demographics
NPI:1235560319
Name:TIMMONS, CLAUDIA (CFAS, CCJAS, CDVC)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:TIMMONS
Suffix:
Gender:F
Credentials:CFAS, CCJAS, CDVC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6313 SUMMER RAY RD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-6113
Mailing Address - Country:US
Mailing Address - Phone:505-343-0746
Mailing Address - Fax:505-345-7513
Practice Address - Street 1:701 CANDELARIA RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-2407
Practice Address - Country:US
Practice Address - Phone:505-343-0746
Practice Address - Fax:505-345-7513
Is Sole Proprietor?:No
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN25170101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)