Individual
AMANDA L. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 CABELAS DR APT 1225, BUDA, TX 78610-6225
(713) 822-4651
Mailing address
4003 LAKEHOUSE RD APT 2, CALVERTON, MD 20705-3319
(713) 822-4651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15609
TX
101YP2500X
Professional Counselor
Primary
88754
TX
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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