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MR. THOMAS WAYNE DONALD
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1508078593
Individual Registrant:MR. THOMAS WAYNE DONALD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
179 17TH STREET PACIFIC GROVE, CA 93950 US
Tel: 831-224-4553 Fax: --
Tel: 831-224-4553 Fax: --
Contact information for business:
179 17TH STREET PACIFIC GROVE, CA 93950 US
Tel: 831-224-4553 Fax: --
Tel: 831-224-4553 Fax: --
Registration Information:
NPI: 1508078593
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFT28375 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
