Individual
MR. THOMAS RICHARD MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 PACIFIC AVE S STE C, KELSO, WA 98626-1638
(360) 425-5378
Mailing address
305 PACIFIC AVE S STE C, KELSO, WA 98626-1638
(360) 425-5378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61592915
WA
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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