Individual
MS. COURTNEY PATRICE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 N PRAIRIE AVE, INGLEWOOD, CA 90301-4502
(310) 846-2100
Mailing address
4760 S. SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/13/2020
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