Provider Demographics
NPI:1033346820
Name:VANDRUNEN, THOMAS F (LPCMH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:F
Last Name:VANDRUNEN
Suffix:
Gender:M
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29787 JOHN J WILLIAMS HIGHWAY, UNIT #8
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-4097
Mailing Address - Country:US
Mailing Address - Phone:717-691-6768
Mailing Address - Fax:866-229-0237
Practice Address - Street 1:29787 JOHN J WILLIAMS HIGHWAY, UNIT #8
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4097
Practice Address - Country:US
Practice Address - Phone:717-691-6768
Practice Address - Fax:866-229-0237
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health