person
Brad William Thayer, LPC,NCC,CCTP
Professional Counselor in Burlingame, California
NPI 1275148694

Brad William Thayer is a Professional Counselor based in Sierra Vista, CA and is specialized in Professional. Brad William Thayer practices in Burlingame, CA and has the professional credentials of LPC,NCC,CCTP. The NPI Number for Brad William Thayer is 1275148694 and holds a License No. LPC-20916 (California).

The current practice location address for Brad William Thayer is 287 Lorton Ave, Burlingame, CA and can be reached out via phone at 877-505-7147. You can also correspond with Brad William Thayer through the mailing address at 2300 E FRY BLVD, SIERRA VISTA, AZ - 85635-2712 (mailing address contact number: 520-477-1863).

Location: 287 Lorton Ave, Burlingame, CA, 85635-2712
person
Provider Profile Details
NPI Number
1275148694
Provider Name
Brad William Thayer
Credential
LPC,NCC,CCTP
Provider Entity Type
Individual
Gender
Male
Address
287 Lorton Ave, Burlingame, CA, 85635-2712
Phone Number
877-505-7147
Fax Number
Provider Enumeration Date
09/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
287 Lorton Ave
City
State
Zip
94010-4203
Phone Number
877-505-7147
Fax Number
person
Provider Business Mailing Address Details
Address
2300 E Fry Blvd
City
State
Zip
85635-2712
Phone Number
520-477-1863
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-20916 (Arizona)
Definition
Definition to come...
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