Individual
MARK THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-8359
Mailing address
12730 43RD AVE NE, MARYSVILLE, WA 98271-8714
(425) 501-0009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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