DETRA THOMAS

SAN FRANCISCO, CA
NPI1659182350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  12081)
Enumeration Date2025-01-14
Last Update Date2026-07-22
Business Address
DETRA THOMAS
1111 MARKET ST
SAN FRANCISCO, CA 94103-1513
Phone number: 415-863-8338
Mailing Address
DETRA THOMAS
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number:
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