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Jack Robert Thomas, MA
Mental Health Counselor in Mount Vernon, Washington
NPI 1912004888

Jack Robert Thomas is a Mental Health Counselor based in La Conner, WA and is specialized in Mental Health. Jack Robert Thomas practices in Mount Vernon, WA and has the professional credentials of MA. The NPI Number for Jack Robert Thomas is 1912004888 and holds a License No. RC00036751 (Washington).

The current practice location address for Jack Robert Thomas is 1100 S 2Nd St, Mount Vernon, WA and can be reached out via phone at 364-193-5513.

Location: 1100 S 2Nd St, Mount Vernon, WA, 98257-1307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912004888
Provider Name
Jack Robert Thomas
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1100 S 2Nd St, Mount Vernon, WA, 98257-1307
Phone Number
364-193-5513
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1100 S 2Nd St
City
Mount Vernon
State
Washington
Zip
98273-4209
Phone Number
364-193-5513
Fax Number
person
Provider Business Mailing Address Details
Address
1100 S 2Nd St
City
Mount Vernon
State
Washington
Zip
98273-4209
Phone Number
364-193-5513
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
RC00036751 (Washington)
Definition
Definition to come...
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