Individual
CLARENCE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
1162 OLIVER RD STE 4, MONROE, LA 71201-5757
(318) 340-1535
(318) 340-1539
Mailing address
1162 OLIVER RD STE 4, MONROE, LA 71201-5757
(318) 340-1535
(318) 340-1539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2447
LA
101YP2500X
Professional Counselor
Primary
2447
LA
106H00000X
Marriage & Family Therapist
410
LA
Other
Enumeration date
06/10/2008
Last updated
09/05/2024
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