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1235292137
JIMMIE BRYANT THOMAS
SALEM, OR
NPI
1235292137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C2474)
Enumeration Date
2006-12-19
Last Update Date
2011-01-14
Business Address
-- JIMMIE BRYANT THOMAS MA, LPC, QMHP
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-588-5352
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Mailing Address
-- JIMMIE BRYANT THOMAS MA, LPC, QMHP
1118 MONROE ST
OREGON CITY, OR 97045-1684
Phone number: 503-481-9284
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