JEROD MITCHELL THOMAS

LEXINGTON, KY
NPI1396202727
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  166725)
Enumeration Date2019-02-21
Last Update Date2019-02-21
Business Address
JEROD MITCHELL THOMAS CADC
635 MAXWELTON CT
LEXINGTON, KY 40508-4012
Phone number: 859-252-1939
Mailing Address
JEROD MITCHELL THOMAS CADC
635 MAXWELTON CT
LEXINGTON, KY 40508-4012
Phone number: 859-252-1939