Individual
JOHN ROBERT THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2237 S 3RD ST W, MISSOULA, MT 59801-1334
(630) 935-8366
Mailing address
2237 S 3RD ST W, MISSOULA, MT 59801-1334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-PCLC-LIC-43925
MT
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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