Damani Jevon Thomas Valid NPI
Individual provider · Counselor · Shelton, WA
- NPI
- 1073143004
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-01-17
- Last updated
- 2020-01-17
Practice location
307 W Cota St
Shelton, WA 98584-2265
(360) 205-8001