Provider Demographics
NPI:1851631600
Name:TSAKOUNIS, THOMAS (MS, LCPC, NCC, DCC,)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:TSAKOUNIS
Suffix:
Gender:M
Credentials:MS, LCPC, NCC, DCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 FOREST GLEN RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2106
Mailing Address - Country:US
Mailing Address - Phone:301-370-6613
Mailing Address - Fax:
Practice Address - Street 1:10000 COLESVILLE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2335
Practice Address - Country:US
Practice Address - Phone:301-370-6613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4577101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional