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Individual
MR. JUSTIN RAYMOND THOMAS
Active
Individual
MR. JUSTIN RAYMOND THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.,LA.D.C,L.P.C.C.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC-305434
MN
101YM0800X
Mental Health Counselor
LPCC-5018
MN
101YP2500X
Professional Counselor
Primary
5018
MN
101YP2500X
Professional Counselor
Primary
LPCC-5018
MN
Other
Enumeration date
11/20/2025
Last updated
08/20/2026
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