Individual
MELINDA LEIGH THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CCDP
Contact information
Practice address
5700 ROUTE 982, NEW DERRY, PA 15671-1027
(724) 804-8204
(724) 203-6551
Mailing address
217 CLOVER DR, LATROBE, PA 15650-2312
(724) 433-3623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
PA
106H00000X
Marriage & Family Therapist
Primary
MF000627
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102903907000
—
PA
Enumeration date
10/13/2011
Last updated
02/22/2024
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