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Individual

MR. DANIEL STEPHEN THOMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
601 SW 2ND AVE, PORTLAND, OR 97204-3229
(503) 382-5386
(503) 670-8349
Mailing address
601 SW 2ND AVE, PORTLAND, OR 97204-3229
(503) 382-5386
(503) 670-8349

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1140
OR

Other

Enumeration date
12/17/2009
Last updated
12/17/2009
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