Thomas A Fossedal, BA

NPI #1144754029 in Mukilteo, Washington

Provider Information

NPI Number: 1144754029
Entity Type: Individual
Name: Thomas A Fossedal, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: BA
Enumeration Date: Apr 17, 2017
Last Updated: Apr 17, 2017

Practice Location

Address: 7727 46TH PL W
City: Mukilteo
State: Washington
ZIP Code: 98275-2703
Phone: (425) 218-9771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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