Individual
ANDREA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601
(510) 535-4400
Mailing address
200 SAN DIEGO AVE, SAN BRUNO, CA 94066-5321
(415) 218-0472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2014
Last updated
08/09/2018
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