Individual
MRS. SAMYNTHIA WILLIBY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4958 FRIAR TUCK DR, NEW ORLEANS, LA 70128-3005
(504) 351-9919
Mailing address
4958 FRIAR TUCK DR, NEW ORLEANS, LA 70128-3005
(504) 351-9919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600846883
—
LA
Enumeration date
09/05/2016
Last updated
09/05/2016
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