Individual provider · Type 1 NPI

Kenneth Herbert Thomas Jr., CASAC, LPC

Addiction (Substance Use Disorder) Counselor · Fort Drum, NY

NPI number 1023092335 Active

Practice location

Usa Meddac, 11050 Mt Belvedere Blvd
Fort Drum, NY 13602-4025

Mailing address

106 Rugby Rd
Syracuse, NY 13206-3225

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1234436 (MI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8778 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023092335

Kenneth Herbert Thomas Jr., CASAC, LPC's National Provider Identifier is 1023092335, issued on Nov 30, 2005. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 13, 2026.