Individual
ANDRE ALLEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
151 TABOR DR, WARNER ROBINS, GA 31093-8703
(478) 461-2773
(866) 834-6096
Mailing address
151 TABOR DR, WARNER ROBINS, GA 31093-8703
(478) 461-2773
(866) 834-6096
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001295
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144996A
—
GA
Enumeration date
06/25/2014
Last updated
06/25/2014
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