Individual
CHRISTA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
792 N MAIN ST STE 200E, NORTH SYRACUSE, NY 13212-1644
(315) 299-6975
Mailing address
8320 POOLS BROOK RD APT 2, KIRKVILLE, NY 13082-9506
(319) 939-3608
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001158
NY
Other
Enumeration date
09/25/2013
Last updated
12/29/2014
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