Individual
MARIAH NICOLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 BAYONET ST STE 207, NEW LONDON, CT 06320-2600
(959) 213-6234
Mailing address
400 BAYONET ST STE 207, NEW LONDON, CT 06320-2600
(959) 213-6234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1009
CT
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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