Individual
MR. SCOTT D THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1233 N MAYFAIR RD STE 206, WAUWATOSA, WI 53226-3255
(414) 302-1233
(414) 302-1234
Mailing address
3735 W FOREST HOME AVE, MILWAUKEE, WI 53215-3534
(414) 315-8747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2931-125
WI
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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