JACK ROBERT THOMAS MA NPI 1912004888

NPI Information

NPI: 1912004888
Provider Name: JACK ROBERT THOMAS, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1100 S 2ND ST
MOUNT VERNON, WA
ZIP 98273
Phone: (364) 193-5513
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Jack Robert Thomas, MA is a mental health counselor in Mount Vernon, WA. Jack Robert Thomas, MA NPI is 1912004888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 S 2ND ST
MOUNT VERNON, WA
ZIP 98273-209
Phone: (364) 193-5513

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	RC00036751	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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