Individual
MARY JAMES-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST STE 426, SHREVEPORT, LA 71105-2414
(318) 754-3560
(318) 779-0439
Mailing address
932 FRANCAIS DR, SHREVEPORT, LA 71118-4050
(318) 426-2182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1790829646
LA
1041C0700X
Clinical Social Worker
Primary
14628
LA
171M00000X
Case Manager/Care Coordinator
14628
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790829646
—
LA
Enumeration date
08/28/2016
Last updated
06/14/2021
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