Individual
MS. TIMIKA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
121 BLACKTHORNE CT, CLAYTON, NC 27520-7114
(919) 368-4872
Mailing address
121 BLACKTHORNE CT, CLAYTON, NC 27520-7114
(919) 368-4872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1598
NC
101YM0800X
Mental Health Counselor
1598
NC
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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