Individual
JACI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 MAIN ST, VANCOUVER, WA 98660-3151
(360) 695-1014
Mailing address
1014 MAIN ST, VANCOUVER, WA 98660-3151
(360) 695-1014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG61228481
WA
104100000X
Social Worker
Primary
LW61605832
WA
Other
Enumeration date
11/04/2021
Last updated
12/05/2025
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