Individual
SAMANTHA BROOKE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11303 WILSHIRE BLVD BLDG 116, LOS ANGELES, CA 90025-5069
(310) 914-4045
Mailing address
10599 WILSHIRE BLVD APT 311C, LOS ANGELES, CA 90024-7624
(951) 490-1749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19204
CA
Other
Enumeration date
07/20/2022
Last updated
04/23/2025
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