Individual
CANDRA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5835 CAMPBELLTON RD SW STE 303, ATLANTA, GA 30331-8014
(404) 666-9261
Mailing address
5835 CAMPBELLTON RD SW STE 303, ATLANTA, GA 30331-8014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010591
GA
225C00000X
Rehabilitation Counselor
—
GA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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