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Individual

ANGELA DAWN THOMAS

Active
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Individual

ANGELA DAWN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC, LADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305922
MN
101YM0800X
Mental Health Counselor
CC04277
MN
101YP2500X
Professional Counselor
Primary
CC04277
MN

Other

Enumeration date
03/07/2024
Last updated
03/07/2024
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