Individual
MR. THAD WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
550 EARL GARRETT ST, SUITE 203, KERRVILLE, TX 78028-4572
(830) 353-7868
Mailing address
550 EARL GARRETT ST, SUITE 203, KERRVILLE, TX 78028-4572
(830) 353-7868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13675634
CAQH
TX
Enumeration date
12/30/2015
Last updated
01/05/2016
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