JACK ROBERT THOMAS

MOUNT VERNON, WA
NPI1912004888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  RC00036751)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- JACK ROBERT THOMAS MA
1100 S 2ND ST
MOUNT VERNON, WA 98273-4209
Phone number: 364-193-5513
Mailing Address
-- JACK ROBERT THOMAS MA
PO BOX 1307
LA CONNER, WA 98257-1307
Phone number: 360-466-0130