Individual
MISS ARIEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5873 LYNN ST, SAN DIEGO, CA 92105-3906
(619) 847-9569
Mailing address
5873 LYNN STREET, SAN DIEGO, CA 92105
(619) 847-9569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RII05450715
CA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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