Individual
MICHAEL A THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
14 NANCY ST, LEWISTON, ME 04240-4835
(207) 754-0610
Mailing address
14 NANCY ST, LEWISTON, ME 04240-4835
(207) 754-0610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4904
ME
101YP2500X
Professional Counselor
XL4306
ME
Other
Enumeration date
01/16/2015
Last updated
08/28/2019
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