Individual provider · Type 1 NPI
Thomas A. Fossedal, BA
Mental Health Counselor · Mukilteo, WA
NPI number
1144754029
Active
Practice location
7727 46th Pl W
Mukilteo, WA 98275-2703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 61600 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1144754029
Thomas A. Fossedal, BA's National Provider Identifier is 1144754029, issued on Apr 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mukilteo, WA. The record was last updated on Apr 17, 2017.