Individual
ALISSA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 N BROADWAY STE 200, SANTA ANA, CA 92706-2663
(714) 221-6400
Mailing address
87 PROMENADE, IRVINE, CA 92612-1708
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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