| Mr Kenneth Herbert Thomas Jr, CASAC, LPC | |
|
Usa Meddac, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-4025 | |
| (315) 772-8801 | |
| Not Available |
| Full Name | Mr Kenneth Herbert Thomas Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | Usa Meddac, Fort Drum, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023092335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1234436 (Michigan) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8778 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Herbert Thomas Jr, CASAC, LPC 106 Rugby Rd, Syracuse, NY 13206-3225 Ph: (315) 463-6297 | Mr Kenneth Herbert Thomas Jr, CASAC, LPC Usa Meddac, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-4025 Ph: (315) 772-8801 |
Dusten Green, DSW,LCSW, CASAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Mr. Tobin Northstar Marti, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-9640 | |
David James Arakelian, LICSW, LCSW, CSAC Counselor Medicare: Medicare Enrolled Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2029 | |
Mr. Don Bonham, LMSW, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac - Credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 | |
Mrs. Emma Elizabeth Miles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Attn: Mcid-bh-ccc, Fort Drum, NY 13602 Phone: 315-772-6890 Fax: 315-772-4097 | |
Taralee Lashway, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-3778 |