Individual
KEAYON DONTRE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1865 GUMBERRY CT, HOPE MILLS, NC 28348-8421
(910) 710-4520
Mailing address
1865 GUMBERRY CT, HOPE MILLS, NC 28348-8421
(910) 710-4520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
996140124
UNITED HEALTHCARE
NC
Enumeration date
11/17/2022
Last updated
11/17/2022
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