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General NPI Number Information
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NPI Number | 1770379513
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Entity Type | Organization
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Legal Business Name | MIKE THOMAS COUNSELING PLLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2115 N 30TH ST STE 201
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City | TACOMA
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State | WA
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Zip | 98403-3397
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Country | US
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Telephone | 253-948-3623
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 6TH AVE STE 100 #1101
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City | TACOMA
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State | WA
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Zip | 98405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MICHAEL LAUCKNER THOMAS
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Credential | LMHC
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Telephone | 989-780-4079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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