Provider Demographics
NPI:1013242437
Name:THOMAS, CAROL J (LMHT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 E HARTSON AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1343
Mailing Address - Country:US
Mailing Address - Phone:509-624-0264
Mailing Address - Fax:509-624-0280
Practice Address - Street 1:405 E HARTSON AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1343
Practice Address - Country:US
Practice Address - Phone:509-624-0264
Practice Address - Fax:509-624-0280
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-03
Last Update Date:2009-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00004478101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health