Provider Demographics
NPI:1730632373
Name:TIMMERMAN, BRITTNI J (MS, LPCC, NCC, RPT)
Entity type:Individual
Prefix:MS
First Name:BRITTNI
Middle Name:J
Last Name:TIMMERMAN
Suffix:
Gender:F
Credentials:MS, LPCC, NCC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 E RIVER RD NE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-5407
Mailing Address - Country:US
Mailing Address - Phone:507-829-7972
Mailing Address - Fax:507-258-3288
Practice Address - Street 1:3520 E RIVER RD NE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-5407
Practice Address - Country:US
Practice Address - Phone:507-258-3287
Practice Address - Fax:507-258-3288
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health