Individual provider · Type 1 NPI
James Lawrence Thibault, LPC
Professional Counselor · Philadelphia, PA
NPI number
1013421718
Active
Practice location
2049 North St
Philadelphia, PA 19130-3217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC009659 (PA) |
Professional Counselor: Definition to come...
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About NPI 1013421718
James Lawrence Thibault, LPC's National Provider Identifier is 1013421718, issued on Nov 17, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 17, 2017.