Individual
AZZIE THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 HARRIS AVE STE A, SACRAMENTO, CA 95838-3249
(916) 649-6793
(916) 929-6794
Mailing address
310 HARRIS AVE STE A, SACRAMENTO, CA 95838-3249
(916) 649-6793
(916) 929-7411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-T1108181845
CA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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