Individual
JUSTIN DREW THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 3RD AVE SW, ALBANY, OR 97321
(541) 967-3866
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 971-7123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
C2879
OR
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
04/09/2007
Last updated
02/05/2019
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