| Doctor Name: | DAVID GEORGE THOMASSEN |
| NPI Number: | 1013338623 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LGPC |
| License Number: | LGP3782 |
| Business Practice Address: | 309 E Patrick St Frederick, MD - 217015614 |
| Business Phone Number: | 2405782322 |
| Business Fax Number: | |
| Mailing Address: | 309 E Patrick St, FREDERICK |
| State: | MD |
| Postal Code: | 217015614 |
| Phone Number: | 2405782322 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2013 |
| NPI Last Update Date: | 12/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LGP3782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |