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Individual

ERIC THOMAS CUESTAS-THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW, LISAC

Contact information

Practice address
748 MARKET ST STE 80, TACOMA, WA 98402-3737
(520) 272-4650
(253) 697-9938
Mailing address
748 MARKET ST # 80, TACOMA, WA 98402-3737
(520) 272-4650
(253) 697-9938

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10713
AZ
1041C0700X
Clinical Social Worker
LCSW-12502
AZ
1041C0700X
Clinical Social Worker
Primary
LW60509544
WA
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2044698
WA
Enumeration date
06/25/2008
Last updated
09/30/2022
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