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Individual
MARY ANN THOMAS
Active
Individual
MARY ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
71767
CA
174H00000X
Health Educator
—
CA
246Y00000X
Health Information Specialist/Technologist
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150072238
ADULT EDUCATION INSTRUCTOR
CA
01
—
170063421
CHILD DEVELOPMENT PROGRAM DIRECTOR PERMIT
CA
01
—
71767
CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONAL
CA
Enumeration date
09/17/2018
Last updated
06/11/2019
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