Provider Demographics
NPI:1770897332
Name:THOMAS, ARLENE (MS LMFT)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16771 NE 80TH ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3959
Mailing Address - Country:US
Mailing Address - Phone:425-891-5566
Mailing Address - Fax:
Practice Address - Street 1:16771 NE 80TH ST
Practice Address - Street 2:SUITE 108
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3959
Practice Address - Country:US
Practice Address - Phone:425-891-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60143037106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist