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Individual

DOUGLAS ALTON THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
LPC, LMHC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002591A
IN
101YP2500X
Professional Counselor
Primary
PC007549
PA
101YP2500X
Professional Counselor

Other

Enumeration date
04/23/2015
Last updated
01/23/2025
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