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Individual

JOHN MONSTRE THIGPEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, SUDP, LICSW

Contact information

Practice address
3888 NW RANDALL WAY STE 201, SILVERDALE, WA 98383-7847
(360) 698-5883
(360) 809-6002
Mailing address
9633 LEVIN RD NW, SILVERDALE, WA 98383-8131
(360) 698-5883
(360) 782-9586

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60494074
WA
1041C0700X
Clinical Social Worker
Primary
LW60901801
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2153701
WA
Enumeration date
01/05/2017
Last updated
02/11/2025
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