Individual
MR. ANDREW THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CACII
Contact information
Practice address
191 E AGATE AVE, GRANBY, CO 80446
(970) 531-6173
(970) 887-2293
Mailing address
PO BOX 964, GRAND LAKE, CO 80447-0964
(970) 531-6173
(970) 887-2293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB6696
CO
1041C0700X
Clinical Social Worker
Primary
CSW1739
CO
Other
Enumeration date
05/21/2010
Last updated
04/12/2016
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