Individual
ANTOINETTE ALTHEA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, MAC,NCC,CTHP I
Contact information
Practice address
7102 LOUNSBURY CT, WINDSOR MILL, MD 21244-1840
(443) 810-6944
Mailing address
7102 LOUNSBURY CT, WINDSOR MILL, MD 21244-1840
(443) 810-6944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
641
MD
101YP2500X
Professional Counselor
Primary
LC4396
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462888495
—
MD
Enumeration date
04/17/2012
Last updated
04/12/2021
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