Individual
DISHEENA MARIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
653 SKIPPACK PIKE STE 300-43, BLUE BELL, PA 19422-1742
(215) 948-9454
Mailing address
1650 LIMEKILN PIKE STE B19, DRESHER, PA 19025-1503
(267) 252-8102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC015180
PA
101YM0800X
Mental Health Counselor
Primary
PC015180
PA
101YP2500X
Professional Counselor
PC015180
PA
Other
Enumeration date
01/25/2023
Last updated
02/17/2025
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