Thomas, Damani Jevon
Thomas, Damani Jevon is an individual health care provider with primary practice located at 307 W Cota St , Shelton WA 98584-2265. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Thomas, Damani Jevon can be contacted via phone (360) 205-8001.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Washington |
Profile Details
| NPI number | 1073143004 |
|---|---|
| LBN Legal business name | Thomas, Damani Jevon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2020 |
| Last updated | Jan 17th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073143004 | NPPES |
| Washington | MEDICAID | 1710523568 |
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