Thayer, Brad William

Thayer, Brad William is an sole proprietor health care provider with primary practice located at 287 Lorton Ave , Burlingame CA 94010-4203. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Thayer, Brad William can be contacted via phone (877) 505-7147.

Contact Information

Primary practice address
287 Lorton Ave Burlingame CA 94010-4203
Phone: (877) 505-7147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-20916 Arizona

Profile Details

NPI number 1275148694
LBN Legal business name Thayer, Brad William
Credentials LPC, NCC, CCTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2020
Last updated Aug 19th, 2022 - 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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