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Individual

MRS. MALINDA JO THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1320 E TRIUMPH AVE, POST FALLS, ID 83854-5985
(208) 625-9361
Mailing address
1320 E TRIUMPHAVE, POST FALLS, ID 83854
(208) 625-9361

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 60704296
WA
101YM0800X
Mental Health Counselor
Primary
LH61540790
WA

Other

Enumeration date
03/24/2017
Last updated
07/30/2024
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