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NPI Code Detail

MEDICARE: DR. DANA A THOMASON PHD MS MTH LPC LADAC

MEDICARE: DR. DANA A THOMASON PHD MS MTH LPC LADAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorP9803007AR

General Provider Information

NPI Number : 1437228814
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA A THOMASON PHD MS MTH LPC LADAC
Provider Business Mailing Address
First Line : P.O. BOX 10774
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72812-0774
Country : US
Telephone Number : 479-264-1241
Fax Number :
Provider Business Practice Location Address
First Line : 910 S ROGERS ST STE B
Second Line :
City : CLARKSVILLE
State : AR
Zip : 72830-4331
Country : US
Telephone Number : 479-264-1241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 06/29/2022

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