Individual
MR. KENNETH N THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS LCADC CAC DP LPC
Contact information
Practice address
3064 PENN ESTATES, EAST STROUDSBURG, PA 18301-8696
(201) 951-5596
Mailing address
930 N 9TH ST, STROUDSBURG, PA 18360-1208
(201) 951-5596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00130200
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC005579
PA
101YP2500X
Professional Counselor
PC005579
PA
Other
Enumeration date
04/14/2011
Last updated
07/25/2019
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