Individual
RICHARD JOHN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
633 UMATILLA BLVD, UMATILLA, FL 32784-8418
(352) 792-0189
Mailing address
21635 COUNTY ROAD 455, CLERMONT, FL 34715-8721
(352) 386-6565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH27159
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
IMH27159
FL
101YM0800X
Mental Health Counselor
IMH27159
FL
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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