Individual
MR. THOMAS D. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, CSAT
Contact information
Practice address
416 GEORGE ST, SUITE LL6, DE PERE, WI 54115-2712
(920) 338-0331
(920) 338-0348
Mailing address
416 GEORGE ST, SUITE LL6, DE PERE, WI 54115-2712
(920) 338-0331
(920) 338-0348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1246-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1246-125
STATE LICENSE
WI
Enumeration date
07/13/2007
Last updated
01/29/2008
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