Individual
KHIANA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 S VERMONT AVE STE A200, TORRANCE, CA 90502-4418
(310) 323-6887
Mailing address
732 W 137TH ST, GARDENA, CA 90247-2104
(310) 254-8220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2437
CA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
11/30/2020
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