Individual
MS. ELISA MARGARET THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1571 BRUSHWOOD CT SE, BOLIVIA, NC 28422-8189
(910) 880-3080
Mailing address
4891 LONG BEACH RD SE STE 3, SOUTHPORT, NC 28461-8712
(910) 880-3080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10344
AZ
106H00000X
Marriage & Family Therapist
10344
AZ
106H00000X
Marriage & Family Therapist
Primary
1738
NC
Other
Enumeration date
03/18/2011
Last updated
04/27/2022
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