Individual
MR. JASON EUGENE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Contact information
Practice address
1393 TRENT BOULEVARD, BUILDING 2, SUITE 2101, LEXINGTON, KY 40517
(859) 233-0033
(859) 233-1269
Mailing address
532 BROOKWATER LN, LEXINGTON, KY 40515-6036
(859) 327-1042
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1017
KY
104100000X
Social Worker
Primary
3285
KY
Other
Enumeration date
03/11/2009
Last updated
10/27/2022
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