Organization
CJ THOMAS MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH D RAYFORD LSW (CO-OWNER)
(419) 913-8680
Entity
Organization
Contact information
Practice address
5461 SOUTHWYCK BLVD STE 2P, TOLEDO, OH 43614-1553
(419) 913-8680
Mailing address
5461 SOUTHWYCK BLVD STE 2P, TOLEDO, OH 43614-1553
(419) 913-8680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359924
—
OH
Enumeration date
10/03/2022
Last updated
06/08/2023
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