Individual
STEPHANIE MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 877-4420
Mailing address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.011790
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/04/2018
Last updated
01/14/2020
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