Individual
DEBRA A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC, CCDP, CCS
Contact information
Practice address
1231 LAUREL ST, BATON ROUGE, LA 70802-4645
(225) 344-6345
(225) 246-7943
Mailing address
446 N 12TH ST, BATON ROUGE, LA 70802-4613
(225) 344-6345
(225) 246-7943
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1211
LA
101YM0800X
Mental Health Counselor
2040
LA
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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