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Individual

AMETHYST ST THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1415 CALIFORNIA ST, HOUSTON, TX 77006-2602
(832) 548-5000
Mailing address
1415 CALIFORNIA ST, HOUSTON, TX 77006-2602

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904015053
VA
1041C0700X
Clinical Social Worker
Primary
108783
TX
1041C0700X
Clinical Social Worker
16996
FL
1041C0700X
Clinical Social Worker
200001840
DC
1041C0700X
Clinical Social Worker
31820
MD

Other

Enumeration date
02/08/2019
Last updated
03/25/2026
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