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General NPI Number Information
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NPI Number | 1992031082
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Entity Type | Individual
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Provider Name | THOMAS LOUIS PAPAS MA
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Gender | Male
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 10/23/2009
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Provider Practice Location Address
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Address Line | 547 DAYTON ST
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City | EDMONDS
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State | WA
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Zip | 98020-3431
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Country | US
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Telephone | 425-771-5166
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Fax | 425-670-2807
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Provider Business Mailing Address
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Address Line | 27410 SE 22ND WAY
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City | SAMMAMISH
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State | WA
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Zip | 98075-7936
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Country | US
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Telephone | 425-677-7966
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CG60119167
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License Number State | WA
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