Individual
ANNA RENE' THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1005 SW DISK DR STE 104, BEND, OR 97702-3385
(541) 228-7882
Mailing address
1005 SW DISK DR STE 104, BEND, OR 97702-3385
(541) 228-7882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P0503018
AR
101YP2500X
Professional Counselor
Primary
C6189
OR
101YP2500X
Professional Counselor
P0503018
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500793075
—
OR
Enumeration date
02/11/2009
Last updated
06/05/2024
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