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Organization
CONNIE S. THOMAS, LMFT
Active
Organization
CONNIE S. THOMAS, LMFT
Active
Other names
It's Your Story
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE SUE THOMAS LMFT (CLINICAL DIRECTOR)
(949) 812-0499
Entity
Organization
Contact information
Practice address
12821 NEWPORT AVE, TUSTIN, CA 92780-2711
(949) 812-0499
Mailing address
16002 LEGACY RD UNIT 313, TUSTIN, CA 92782-2784
(949) 812-0499
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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