Provider Demographics
NPI:1780297804
Name:SKEETER, THOMAS E III (MS, LGPC, NCC, CMT)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:SKEETER
Suffix:III
Gender:M
Credentials:MS, LGPC, NCC, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8617 CORY DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4459
Mailing Address - Country:US
Mailing Address - Phone:240-461-8707
Mailing Address - Fax:
Practice Address - Street 1:5831 ALLENTOWN RD STE A
Practice Address - Street 2:
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4570
Practice Address - Country:US
Practice Address - Phone:757-589-7677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP9671101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health