Individual
ALYSSA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Mailing address
3777 KINGSWOOD DR, DAYTON, OH 45429-4319
(937) 829-5989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
173430
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.173430
OH
171M00000X
Case Manager/Care Coordinator
CDCA.173430
OH
Other
Enumeration date
01/28/2020
Last updated
08/19/2022
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