Individual
JESSICA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1109 COOK TRL, BRANTLEY, AL 36009-4130
(334) 782-3420
(334) 335-5206
Mailing address
1109 COOK TRL, BRANTLEY, AL 36009-4130
(334) 782-3420
(334) 335-5206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3554AL
AL
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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