Individual
MS. MAVIS B THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
109 MEDICAL PARK DR STE C, ANDALUSIA, AL 36420-5364
(334) 222-1818
(334) 222-1919
Mailing address
614 W BYPASS, ANDALUSIA, AL 36420-4731
(334) 222-3555
(334) 427-9522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2895
AL
Other
Enumeration date
09/18/2012
Last updated
04/08/2024
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