Individual
JEREMY RAY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7811
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0017609
CO
104100000X
Social Worker
—
—
Other
Enumeration date
04/12/2007
Last updated
09/29/2021
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