Individual
DAVID GEORGE THOMASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LGPC
Contact information
Practice address
309 E PATRICK ST, FREDERICK, MD 21701-5614
(240) 578-2322
Mailing address
309 E PATRICK ST, FREDERICK, MD 21701-5614
(240) 578-2322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP3782
MD
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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