Munholland, Thomas Eugene

Munholland, Thomas Eugene is an individual health care provider with primary practice located at 2255 Midpoint Dr , Fort Collins CO 80525-4306. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Munholland, Thomas Eugene can be contacted via phone (970) 498-7530.

Contact Information

Primary practice address
2255 Midpoint Dr Fort Collins CO 80525-4306
Phone: (970) 498-7530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACD.0002056 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPCC.0019167 Colorado
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1144672122
LBN Legal business name Munholland, Thomas Eugene
Credentials LAC, LPCC, CRC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2016
Last updated Mar 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144672122 NPPES
Colorado MEDICAID 0333945

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