Individual
CAMILLE Y THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11810 S TAMARACK CT, JENKS, OK 74037-4389
(918) 518-5044
Mailing address
11810 S TAMARACK CT, JENKS, OK 74037-4389
(918) 518-5044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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