Individual
CARLENE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED, CRC
Contact information
Practice address
267 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1704
(718) 981-8117
Mailing address
267 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1704
(718) 981-8117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00115429
NY
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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