Individual
MR. JERMAINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 MAGNOLIA STREET, ZWOLLE, LA 71486
(318) 461-7545
Mailing address
1812 MAGNOLIA STREET, ZWOLLE, LA 71486
(318) 461-7545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
10/09/2015
Last updated
07/01/2022
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