| Dana A. Thomason Pa | |
|
910 S Rogers St Ste B Clarksville AR 72830-4331 | |
| (479) 264-1241 | |
| Not Available |
| Full Name | Dana A. Thomason Pa |
|---|---|
| Speciality | Counselor |
| Location | 910 S Rogers St Ste B, Clarksville, Arkansas |
| Authorized Official Name and Position | Dana A Thomason (PRESIDENT) |
| Authorized Official Contact | 4792641241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana A. Thomason Pa 2027 S Verona Ave Russellville AR 72802-2703 Ph: (479) 264-1241 | Dana A. Thomason Pa 910 S Rogers St Ste B Clarksville AR 72830-4331 Ph: (479) 264-1241 |
| NPI Number | 1972263101 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Medicare PECOS PAC ID | 6204378664 |
|---|---|
| Medicare Enrollment ID | O20240613000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972263101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Dana A Thomason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437228814 PECOS PAC ID: 0840732202 Enrollment ID: I20240613000153 |
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