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Charley Ld Thomas, SUDPT,CAAR
Addiction (Substance Use Disorder) Counselor in Nespelem, Washington
NPI 1750001210

Charley Ld Thomas is an Addiction (Substance Use Disorder) Counselor based in Nespelem, WA and is specialized in Addiction (Substance Use Disorder). Charley Ld Thomas practices in Nespelem, WA and has the professional credentials of SUDPT,CAAR. The NPI Number for Charley Ld Thomas is 1750001210 and holds a License No. CG61246795 (Washington).

The current practice location address for Charley Ld Thomas is 21 Colville St, Nespelem, WA and can be reached out via phone at 509-634-2610.

Location: 21 Colville St, Nespelem, WA, 99155-0150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750001210
Provider Name
Charley Ld Thomas
Credential
SUDPT,CAAR
Provider Entity Type
Individual
Gender
Male
Address
21 Colville St, Nespelem, WA, 99155-0150
Phone Number
509-634-2610
Fax Number
Provider Enumeration Date
09/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21 Colville St
City
Nespelem
State
Washington
Zip
99155-0150
Phone Number
509-634-2610
Fax Number
person
Provider Business Mailing Address Details
Address
21 Colville St
City
Nespelem
State
Washington
Zip
99155-0150
Phone Number
509-634-2610
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CO61248358 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CG61246795 (Washington)
Definition
Definition to come...
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