Individual
MS. RUTH ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
10312 BEARWALLOW CT, CHARLOTTE, NC 28213-5259
(704) 502-3455
Mailing address
10312 BEARWALLOW CT, CHARLOTTE, NC 28213-5259
(704) 502-3455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111815
—
NC
Enumeration date
05/29/2008
Last updated
05/29/2008
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