Individual
CHRISTINA SUSAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 HEBRON PKWY APT 1208, LEWISVILLE, TX 75057-5018
(972) 763-6733
Mailing address
2717 TIBBETS DR, BEDFORD, TX 76022-6914
(972) 763-6733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
86541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
02/13/2023
Last updated
04/15/2023
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