Individual
KENNETH C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
SMALLWOOD BUILDING, 2670 CRAIN HIGHWAY, SUITE 525, WALDORF, MD 20601
(301) 632-2100
(301) 632-2150
Mailing address
TRICO CORPORATION, P.O. BOX 826, LEXINGTON PARK, MD 20653
(301) 862-4966
(301) 862-5554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2153
MD
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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