Individual provider · Type 1 NPI

Charley LD Thomas, SUDPT, CAAR

Addiction (Substance Use Disorder) Counselor · Nespelem, WA

NPI number 1750001210 Active

Practice location

21 Colville St
Nespelem, WA 99155-0150

Mailing address

PO Box 150
Nespelem, WA 99155-0150

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCG61246795 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61248358 (WA)

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

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About NPI 1750001210

Charley LD Thomas, SUDPT, CAAR's National Provider Identifier is 1750001210, issued on Sep 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nespelem, WA. The record was last updated on Sep 13, 2022.