| NPI | 1225436447 |
|---|---|
| Former Name | JEFFREY FRANKLIN THOMAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S9797) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3376-A) |
| 101YP2500X Counselor, Professional (Licence: NC A9797) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3376) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2023-07-06 |