| Doctor Name: | MR. THOMAS E MCGRATH |
| NPI Number: | 1215076278 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 841-125 |
| Business Practice Address: | 612 Clermont St Antigo, WI - 544091942 |
| Business Phone Number: | 7156270371 |
| Business Fax Number: | 7158458483 |
| Mailing Address: | 911 Clermont St, ANTIGO |
| State: | WI |
| Postal Code: | 544091901 |
| Phone Number: | 7156237650 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 841-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |