Individual
KELLY C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 888-6275
(563) 884-4638
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 888-6275
(563) 884-4638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001393
IA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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