JELISA RENAE THOMAS

CENTRALIA, WA
NPI1306462205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2020-06-17
Last Update Date2020-06-17
Business Address
JELISA RENAE THOMAS
3510 STEELHAMMER LN
CENTRALIA, WA 98531
Phone number: 360-623-8020
Mailing Address
JELISA RENAE THOMAS
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044