Individual
CHARLES E THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSC,CIT.
Contact information
Practice address
401 RAINBOW DR UNIT 35, PINEVILLE, LA 71360-6979
(318) 484-6617
(318) 487-5703
Mailing address
2011 LYNDA LEE ST, ALEXANDRIA, LA 71301-4233
(318) 792-5694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R-1327
LA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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