Jeffery Earl Thomas Sr., LPCC,LAADC
Counselor, Professional in Venice, CA. Individual provider (NPI-1).
NPI number1831536028
StatusActive
Last updated in NPPESDec 20, 2024
Details
- NPI
- 1831536028
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffery Earl Thomas Sr.
- Credential
- LPCC,LAADC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2013
- Certification date
- Dec 20, 2024
- Last updated
- Dec 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPCC17264 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
503 Ocean Front WalkVenice, CA 90291-2403
Phone 310-392-3070 · Fax 310-557-8989
Mailing address
503 Ocean Front WalkVenice, CA 90291-2403
Phone 310-392-3070 · Fax 310-557-8989
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