# CONNIE S. THOMAS, LMFT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** It's Your Story
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720667942
- **Authorized official:** CONNIE SUE THOMAS LMFT (CLINICAL DIRECTOR)
- **Authorized official phone:** (949) 812-0499

## Contact information

- **Practice address:** 12821 NEWPORT AVE, TUSTIN, CA 92780-2711
- **Practice address phone:** (949) 812-0499
- **Mailing address:** 16002 LEGACY RD UNIT 313, TUSTIN, CA 92782-2784
- **Mailing address phone:** (949) 812-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2021
- **Last updated:** 04/05/2021