person
Mr. Kenneth Herbert Thomas JR., CASAC,LPC
Addiction (Substance Use Disorder) Counselor in Fort Drum, New York
NPI 1023092335

Kenneth Herbert Thomas JR. is an Addiction (Substance Use Disorder) Counselor based in Syracuse, NY and is specialized in Addiction (Substance Use Disorder). Kenneth Herbert Thomas JR. practices in Fort Drum, NY and has the professional credentials of CASAC,LPC. The NPI Number for Kenneth Herbert Thomas JR. is 1023092335 and holds a License No. 1234436 (New York).

The current practice location address for Kenneth Herbert Thomas JR. is Usa Meddac, Fort Drum, NY and can be reached out via phone at 315-772-8801.

Location: Usa Meddac, Fort Drum, NY, 13206-3225
person
Provider Profile Details
NPI Number
1023092335
Provider Name
Kenneth Herbert Thomas JR.
Credential
CASAC,LPC
Provider Entity Type
Individual
Gender
Male
Address
Usa Meddac, Fort Drum, NY, 13206-3225
Phone Number
315-772-8801
Fax Number
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Usa Meddac
City
State
Zip
13602-4025
Phone Number
315-772-8801
Fax Number
person
Provider Business Mailing Address Details
Address
Usa Meddac
City
State
Zip
13602-4025
Phone Number
315-772-8801
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1234436 (Michigan)
Definition
Definition to come...
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