Individual
HEATHER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5860 FULTON DR NW, CANTON, OH 44718-1752
(858) 842-7452
Mailing address
2454 COTTINGTON ST NW, NORTH CANTON, OH 44720-5789
(858) 842-7452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1700547
OH
101YP2500X
Professional Counselor
Primary
E.2102319
OH
Other
Enumeration date
03/13/2018
Last updated
06/18/2021
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