Individual
TANISHA CHANTAE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 MASON ST, BREWTON, AL 36426-1536
(251) 369-1466
Mailing address
421 LOREE RD, EVERGREEN, AL 36401-2114
(251) 369-1796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AL
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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