Individual
THOMAS MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPC
Contact information
Practice address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-8246
Mailing address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-8246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5007928
AL
101YM0800X
Mental Health Counselor
5007928
AL
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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