Individual
ANDREW THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(360) 486-6053
(360) 493-5088
Mailing address
106 SANDY LN, CENTRALIA, WA 98531-8949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60770977
WA
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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