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Provider Information for 1811383474


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Mr. ROBERT D THOMAS LPC, LMFT


Sex: Male

NPI: 1811383474
Last Updated: 2023-09-07
Certification Date:

Details

NameValue
NPI1811383474
Enumeration Date2015-04-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 1001
GUNTERSVILLE, AL 35976-7001
United States

Phone: 256-582-8880 | Fax:256-582-8890
 
Primary Practice Address 1612 RAILROAD AVENUE
GUNTERSVILLE, AL 35976
United States

Phone: 256-582-8880 | Fax:256-582-8890
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental Health
No 101YP2500X - Counselor - ProfessionalALLPC-3871
No 106H00000X - Marriage & Family Therapist ALLMFT-L466