Individual
THERESA MARIE THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
148 CIELO RIO DR., PIPE CREEK, TX 78063
(830) 423-6857
Mailing address
231 RIO RANCHERO, PIPE CREEK, TX 78063-6037
(183) 042-3685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
81402
TX
101YM0800X
Mental Health Counselor
81402
TX
Other
Enumeration date
08/18/2021
Last updated
08/23/2021
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