Provider Demographics
NPI:1518658640
Name:TASCONE, THOMAS AARON (BCPC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:AARON
Last Name:TASCONE
Suffix:
Gender:M
Credentials:BCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:667 BABCOCK ROAD
Mailing Address - Street 2:
Mailing Address - City:RUSTBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24588-3101
Mailing Address - Country:US
Mailing Address - Phone:434-329-1730
Mailing Address - Fax:
Practice Address - Street 1:674 RED HOUSE ROAD
Practice Address - Street 2:
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-3101
Practice Address - Country:US
Practice Address - Phone:434-329-1730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0600101YP1600X
VA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)