| Doctor Name: | THOMAS AMOS |
| NPI Number: | 1215109244 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | LH60160759 |
| Business Practice Address: | 4113 Bridgeport Way W Suite C-1 University Place, WA - 984664325 |
| Business Phone Number: | 2533061490 |
| Business Fax Number: | |
| Mailing Address: | 4113 Bridgeport Way W, Suite C-1 UNIVERSITY PLACE |
| State: | WA |
| Postal Code: | 984664325 |
| Phone Number: | 2533061490 |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2008 |
| NPI Last Update Date: | 01/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60160759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |