Provider Demographics
NPI:1174777353
Name:QUERY, THOMAS W (LPC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:W
Last Name:QUERY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:700 OLD ROSWELL LAKES PARKWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-1693
Mailing Address - Country:US
Mailing Address - Phone:770-587-4736
Mailing Address - Fax:678-802-2116
Practice Address - Street 1:700 OLD ROSWELL LAKES PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:770-587-4736
Practice Address - Fax:678-802-2116
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA001531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional