Larisa Marie Thomas, MSW, LSWAIC, SUDP
Counselor, Mental Health in Arlington, WA. Individual provider (NPI-1).
NPI number1760615876
StatusActive
Last updated in NPPESNov 2, 2023
Details
- NPI
- 1760615876
- Entity type
- Individual (NPI-1)
- Name
- Ms. Larisa Marie Thomas
- Credential
- MSW, LSWAIC, SUDP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2009
- Certification date
- Nov 2, 2023
- Last updated
- Nov 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | SC61471875 | WA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CP60264795 | WA |
Practice location
5700 172nd St Ne # AArlington, WA 98223-7742
Phone 360-572-3499 · Fax 360-652-2093
Mailing address
5700 172nd St Ne # AArlington, WA 98223-7742
Phone 360-572-3499 · Fax 360-652-2093
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