Individual
ANGELA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 N 4TH ST, LONGVIEW, TX 75601
(903) 234-8808
(903) 758-2283
Mailing address
PO BOX 2709, LONGVIEW, TX 75606-2709
(903) 234-0776
(903) 234-9769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13113
TX
101YP2500X
Professional Counselor
Primary
74194
TX
Other
Enumeration date
08/17/2015
Last updated
11/11/2019
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