Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Jerreal Wooten, LCMHC-A, LCAS-A, NCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679195960

Timothy Jerreal Wooten, LCMHC-A, LCAS-A, NCC is an Addiction (Substance Use Disorder) Counselor in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

See every abbreviation used in this directory →

Practice location Address checks out

3708 Lyckan Pkwy Ste 205
Durham, NC 27707-2586
Phone: (919) 809-9846
Fax: (919) 516-0057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A15640 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 25834 (NC)

Record details

NPI number1679195960
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHC-A , LCAS-A , NCC
Sole proprietorYes
NPI enumeratedMay 11, 2020
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020

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