Male or Other

Kenneth C. Thomas LCPC

Mental Health Counselor in Waldorf, MD(View on Map)

Full Name

Kenneth C Thomas LCPC

NPI Number

1033132568

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/25/2006

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LC2153

Contact
Information

Purpose

Mailing
Location

Address

TRICO CORPORATION
SMALLWOOD BUILDING

City

Lexington Park
Waldorf

State

MD
MD

Postal Code

20653
20601

Country

US
US

Telephone Number

(301) 862-4966
(301) 632-2100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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