Individual
TIESHA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
19 UNION SQ W, 7TH FLOOR, NEW YORK, NY 10003-3304
(212) 627-9600
(212) 627-4040
Mailing address
19 UNION SQ W, 7TH FLOOR, NEW YORK, NY 10003-3304
(212) 627-9600
(212) 627-4040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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