Individual
TWANA JOY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-I
Contact information
Practice address
8700 MENCHACA RD STE 202, AUSTIN, TX 78748-5373
(765) 603-3567
Mailing address
805 GARDEN PATH DR, ROUND ROCK, TX 78664-6811
(765) 603-3567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
84875
TX
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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