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Individual
JONATHAN FRANK THOMAS
Active
Individual
JONATHAN FRANK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT1, CAODC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7882
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1260720817
CA
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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