Individual
MR. THOMAS WAYNE WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LPC
Contact information
Practice address
704 HISTORIC 66 W, WAYNESVILLE, MO 65583-2136
(573) 528-2654
Mailing address
704 HISTORIC 66 W, WAYNESVILLE, MO 65583-2136
(573) 528-2654
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2007022666
MO
101YM0800X
Mental Health Counselor
Primary
2007022666
MO
101YP2500X
Professional Counselor
2007022666
MO
Other
Enumeration date
05/20/2008
Last updated
01/12/2024
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