Individual
JENNIFER M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6202 CONSTITUTION DR STE B, FORT WAYNE, IN 46804-1583
(260) 226-6414
(260) 459-6220
Mailing address
6202 CONSTITUTION DR STE B, FORT WAYNE, IN 46804-1583
(260) 226-6414
(260) 459-6220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
08/12/2019
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