Individual
DELORES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 W BELLEVUE ST, OPELOUSAS, LA 70570-5252
(337) 407-5148
Mailing address
106 W BELLEVUE ST, OPELOUSAS, LA 70570-5252
(337) 407-5148
(337) 407-5148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003888371
DRIVERS LICENSE
LA
Enumeration date
07/27/2018
Last updated
07/27/2018
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