Doctor Name: | RICHARD ALLEN THOMAS |
NPI Number: | 1003190943 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | RW4404 |
Business Practice Address: | 369 W Compton Blvd Compton, CA - 902203110 |
Business Phone Number: | 3106036555 |
Business Fax Number: | 3106036565 |
Mailing Address: | 323 W 4th St, LONG BEACH |
State: | CA |
Postal Code: | 908022847 |
Phone Number: | 3106036555 |
Fax Number: | 3106036565 |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | RW4404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |