Individual
AMANDA NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 WESTWOOD DR, VAN WERT, OH 45891-2449
(419) 238-3434
Mailing address
1158 WESTWOOD DR, VAN WERT, OH 45891-2449
(419) 238-3434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
05/06/2021
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