Individual
MRS. NICHOLETTE K THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC
Contact information
Practice address
60 E AMHERST ST, BUFFALO, NY 14214-1804
(716) 834-6401
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
00112745
NY
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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