Individual
DR. DONNETTE DAWN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5384
(803) 302-7688
Mailing address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5384
(803) 302-7688
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9563
—
SC
Enumeration date
10/27/2020
Last updated
10/27/2020
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