Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Jerad Haugum, SUDCCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215757869

Thomas Jerad Haugum, SUDCCIII is an Addiction (Substance Use Disorder) Counselor in Ketchikan, Alaska. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

3050 Fifth Ave Ste 100
Ketchikan, AK 99901-5773
Phone: (907) 463-0629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 9184 (CA)

Record details

NPI number1215757869
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCCIII
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address3050 Fifth Ave Ste 100, Ketchikan, AK 99901-5773

Other providers in Ketchikan