Individual
BRENDA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2337 DELONG RD, OSCEOLA, WI 54020-7300
(715) 529-5292
(651) 401-2822
Mailing address
2337 DELONG RD, OSCEOLA, WI 54020-7300
(715) 529-5292
(651) 401-2822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301064
MN
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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