Organization
CLINT THOMAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON EARL THOMAS LPC (OWNER)
(816) 922-9505
Entity
Organization
Contact information
Practice address
18201 E 26TH STREET CT S, INDEPENDENCE, MO 64057-2409
(816) 922-9505
Mailing address
901 W MAIN ST, SUITE 203, BLUE SPRINGS, MO 64015-3743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002020528
MO
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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