Individual
RICHARD E. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-AD
Contact information
Practice address
6401 YORK RD STE 3, BALTIMORE CO. BUREAU OF SUBSTANCE ABUSE, BALTIMORE, MD 21212-2130
(410) 853-3388
Mailing address
280 CEDARMERE CIR, OWINGS MILLS, MD 21117-2446
(410) 654-0486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0796
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC0796
CAC-AD
MD
Enumeration date
03/08/2007
Last updated
07/08/2007
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