Individual
CHRISTINA JO THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP, PLADC
Contact information
Practice address
210 GATEWAY MALL, 342, LINCOLN, NE 68505-2489
(402) 434-2745
Mailing address
210 GATEWAY MALL, 342, LINCOLN, NE 68505-2489
(402) 434-2745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9469
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1052
NE
251S00000X
Community/Behavioral Health Agency
261QM0801X
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025734000
—
NE
05
—
10026038300
—
NE
05
—
47075636930
—
NE
Enumeration date
11/06/2012
Last updated
11/06/2012
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