Individual
RANDALL THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401-6768
(805) 438-3890
Mailing address
2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401-6768
(805) 438-3890
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34530
CA
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
01/29/2014
Last updated
02/02/2026
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