Individual
MARILYN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC, MHS, MSED
Contact information
Practice address
5164 E 81ST AVE STE 380, MERRILLVILLE, IN 46410-5852
(219) 798-4106
Mailing address
5164 E 81ST AVE STE 380, MERRILLVILLE, IN 46410-5852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
04/05/2018
Last updated
01/22/2026
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