Individual
REGINA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 FRIARS CT, BOLINGBROOK, IL 60440-2007
(630) 729-4012
(630) 972-0422
Mailing address
110 FRIARS CT, BOLINGBROOK, IL 60440-2007
(630) 729-4012
(630) 972-0422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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