Individual
KATRINA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D, LCSW, LCAC
Contact information
Practice address
4038 RIDGEVIEW DR, ANDERSON, IN 46013-9715
(317) 574-1254
(317) 674-0060
Mailing address
9615 E 148TH ST STE 1, NOBLESVILLE, IN 46060-4371
(317) 574-1254
(317) 674-0060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
86000387A
IN
1041C0700X
Clinical Social Worker
Primary
34010175A
IN
Other
Enumeration date
04/09/2020
Last updated
08/08/2024
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