person
James Thayer, CP00004542
Addiction (Substance Use Disorder) Counselor in Aberdeen, Washington
NPI 1154868347

James Thayer is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). James Thayer practices in Aberdeen, WA and has the professional credentials of CP00004542. The NPI Number for James Thayer is 1154868347 and holds a License No. CP00004542 (Washington).

The current practice location address for James Thayer is 2700 Simpson Avenue, Aberdeen, WA and can be reached out via phone at 360-612-0012 and via fax at 360-218-5945.

Location: 2700 Simpson Avenue, Aberdeen, WA, 98632
person
Provider Profile Details
NPI Number
1154868347
Provider Name
James Thayer
Credential
CP00004542
Provider Entity Type
Individual
Gender
Male
Address
2700 Simpson Avenue, Aberdeen, WA, 98632
Phone Number
360-612-0012
Fax Number
360-218-5945
Provider Enumeration Date
01/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2700 Simpson Avenue
City
State
Zip
98520
Phone Number
360-612-0012
Fax Number
360-218-5945
person
Provider Business Mailing Address Details
Address
2700 Simpson Avenue
City
State
Zip
98520
Phone Number
360-612-0012
Fax Number
360-218-5945
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
00004542 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CP00004542 (Washington)
Definition
Definition to come...
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