MR. THOMAS WAYNE SORRELLS CSWA NPI 1962861401

NPI Information

MR. Thomas Wayne Sorrells, CSWA is an addiction (substance use disorder) counselor in Roseburg, OR. MR. Thomas Wayne Sorrells, CSWA NPI is 1962861401. 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:

548 SE JACKSON ST
ROSEBURG, OR
ZIP 97470-709
Phone: (541) 672-2691
Fax: (541) 673-5642

The NPI 1962861401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/12/2016 and was last updated on 2/12/2016.

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:

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