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Individual
MR. THOMAS RAY HENRY
Active
Individual
MR. THOMAS RAY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
79
CO
101YM0800X
Mental Health Counselor
2376
CO
101YP2500X
Professional Counselor
Primary
LPC.0002376
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023196
KAISER COMMERCIAL NUMBER
CO
05
—
55500552
—
CO
Enumeration date
03/26/2007
Last updated
05/19/2021
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