Provider Demographics
NPI:1568850915
Name:THOMAS, LISA LORRAINE (LMFT, LMHC AND CDP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:LORRAINE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMFT, LMHC AND CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9040 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-9636
Mailing Address - Country:US
Mailing Address - Phone:253-966-0787
Mailing Address - Fax:253-966-4818
Practice Address - Street 1:9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-3265
Practice Address - Country:US
Practice Address - Phone:253-966-0787
Practice Address - Fax:253-966-4818
Is Sole Proprietor?:No
Enumeration Date:2015-01-07
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)