Individual
GENEVIEVE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
112 SARTIN DR, EDMONTON, KY 42129-8170
(270) 432-4951
(270) 432-5054
Mailing address
112 SARTIN DR, EDMONTON, KY 42129-8170
(270) 432-4951
(270) 432-5054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
KY-0951
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
11/17/2009
Last updated
11/17/2009
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