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Carson Wayne Thomas Jr.

Counselor, Addiction (Substance Use Disorder) in Fresno, CA. Individual provider (NPI-1).

NPI number1679470751
StatusActive
Last updated in NPPESOct 23, 2026

Details

NPI
1679470751
Entity type
Individual (NPI-1)
Name
Carson Wayne Thomas Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 22, 2026
Certification date
Oct 23, 2026
Last updated
Oct 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)26543CAYes

Practice location

2772 S Martin Luther King Jr Blvd
Fresno, CA 93706

Phone 559-265-4800 · Fax 559-265-4823

Mailing address

1900 N Gateway Blvd
Fresno, CA 93727-1622

Phone 559-265-4800

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