Provider Demographics
NPI:1013973999
Name:MAAS, THOMAS MONROE (LMFT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:MONROE
Last Name:MAAS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 S TERRACE ST
Mailing Address - Street 2:
Mailing Address - City:SALMON
Mailing Address - State:ID
Mailing Address - Zip Code:83467-4142
Mailing Address - Country:US
Mailing Address - Phone:208-589-7462
Mailing Address - Fax:208-524-7335
Practice Address - Street 1:803 MONROE ST
Practice Address - Street 2:
Practice Address - City:SALMON
Practice Address - State:ID
Practice Address - Zip Code:83467-3316
Practice Address - Country:US
Practice Address - Phone:208-589-7462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMFT2997101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health