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1053817593
JOHNNY THOMAS
LOS ANGELES, CA
NPI
1053817593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A015900315)
Enumeration Date
2018-04-03
Last Update Date
2019-09-24
Business Address
JOHNNY THOMAS
947 COLE AVE
LOS ANGELES, CA 90038-2610
Phone number: 323-871-4600
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Mailing Address
JOHNNY THOMAS
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-871-4600
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