Individual
QUINTON DWAYNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44049 SWEET WILLIAM DR APT A, HAMMOND, LA 70403-4737
(225) 505-8818
Mailing address
44049 SWEET WILLIAM DR APT A, HAMMOND, LA 70403-4737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLC9549
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
PLC9549
LA
101YM0800X
Mental Health Counselor
PLC9549
LA
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/06/2020
Last updated
07/02/2025
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