Individual
MRS. DEBORAH J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
408 N 15TH AVE, LEBANON, PA 17046
(717) 274-9682
(717) 274-9549
Mailing address
200 NORTH 7TH ST, LEBANON, PA 17046
(717) 273-1710
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
003503PA
PA
101Y00000X
Counselor
CO3404
CO
101YP2500X
Professional Counselor
Primary
003503PA
PA
101YP2500X
Professional Counselor
C03404
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103425680
—
PA
Enumeration date
12/06/2005
Last updated
07/11/2019
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