Individual
CHERIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACD I, QMHA
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 687-1110
(541) 683-9061
Mailing address
3033 GATEWAY ST APT 82, SPRINGFIELD, OR 97477-1010
(514) 914-0314
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
10/07/2021
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