JAMES OWEN THOMAS

PRESCOTT, AZ
NPI1730727173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-0627)
Enumeration Date2019-12-17
Last Update Date2019-12-17
Business Address
JAMES OWEN THOMAS LISAC
919 12TH PL STE 13
PRESCOTT, AZ 86305-1433
Phone number: 928-671-0723
Mailing Address
JAMES OWEN THOMAS LISAC
1319 CAMPBELL AVE
PRESCOTT, AZ 86301-1503
Phone number:
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