# DR. GARRY SCOTT THOMAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063518637
- **Gender:** Man
- **Credential:** PH.D., LISW, LADAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | NM 4015 | NM | — |
| 1041C0700X | Clinical Social Worker | 252636 | KY | — |
| 1041C0700X | Clinical Social Worker | I-04556 | NM | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 01/09/2025