Individual
JAMES OWEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
919 12TH PL STE 13, PRESCOTT, AZ 86305-1433
(928) 671-0723
Mailing address
1319 CAMPBELL AVE, PRESCOTT, AZ 86301-1503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-0627
AZ
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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