Individual
MS. STEPHANIE K THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
4843 WENDELL AVE, CLEVELAND, OH 44127-1167
(440) 552-4442
Mailing address
4843 WENDELL AVE, CLEVELAND, OH 44127-1167
(440) 552-4442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1801415
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.182348
OH
101YP2500X
Professional Counselor
APS.006167
OH
104100000X
Social Worker
S.0027920
OH
175T00000X
Peer Specialist
Primary
APS.006167
OH
Other
Enumeration date
05/13/2025
Last updated
09/02/2025
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