Provider Demographics
NPI:1396904801
Name:THOMAS, DEBRA ANN (LMFTA)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:SCHEESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6000 SOUTHCENTER BLVD STE 30
Mailing Address - Street 2:FARWEST FAMILY SERVICES
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2439
Mailing Address - Country:US
Mailing Address - Phone:425-458-2775
Mailing Address - Fax:
Practice Address - Street 1:6000 SOUTHCENTER BLVD STE 30
Practice Address - Street 2:FARWEST FAMILY SERVICES
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2439
Practice Address - Country:US
Practice Address - Phone:425-458-2775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG 60127669106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist