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NPI Code Detail

MEDICARE: MR. THOMAS WILSON DOOLEY MS,LPC, CRC

MEDICARE:  MR. THOMAS WILSON DOOLEY  MS,LPC, CRC
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
1101YM0800XMental Health CounselorR4295OR
2101YP2500XProfessional CounselorC6595OR

General Provider Information

NPI Number : 1003331943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS WILSON DOOLEY MS,LPC, CRC
Provider Business Mailing Address
First Line : 2607 WALKER RD NE
Second Line :
City : SALEM
State : OR
Zip : 97305-2663
Country : US
Telephone Number : 503-551-9723
Fax Number :
Provider Business Practice Location Address
First Line : 1515 LIBERTY ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-4345
Country : US
Telephone Number : 503-951-6280
Fax Number : 503-468-3130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 02/10/2022

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Directions to “ MR. THOMAS WILSON DOOLEY MS,LPC, CRC” Practice Location

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