Individual
CLINTON EARL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1200 S. OUTER RD. SUITE 330, BLUE SPRINGS, MO 64015
(913) 345-0033
Mailing address
118201 E. 2TH ST. CT., INDEPENDENCE, MO 64057
(816) 795-9576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002020528
MO
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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