Provider Demographics
NPI:1942739115
Name:THOMAS, THURMON ELDON (LAMFT)
Entity Type:Individual
Prefix:
First Name:THURMON
Middle Name:ELDON
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2147 ALVEO DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-8137
Mailing Address - Country:US
Mailing Address - Phone:435-862-6831
Mailing Address - Fax:
Practice Address - Street 1:321 N MALL DRIVE
Practice Address - Street 2:VW 101
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-862-6831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5819973-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist