Individual
MRS. COLLEEN MAIRE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 S COLLEGE RD, SUITE 251, LAFAYETTE, LA 70503-3212
(337) 654-9037
(337) 993-1661
Mailing address
909 OMEGA DR, LAFAYETTE, LA 70506-2925
(337) 281-3608
(337) 993-1661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2615
LA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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