Individual
ALETHEA JEAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6501 SANGER AVE STE 302, WACO, TX 76710-7802
(254) 772-2043
Mailing address
2325 N 51ST ST, WACO, TX 76710-1649
(254) 315-9692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
70790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14414303
CAQH
—
Enumeration date
08/23/2019
Last updated
08/23/2019
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