| Doctor Name: | REBECCA LYNN THOMAS |
| NPI Number: | 1023235496 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW 10307 |
| Business Practice Address: | 151 Mary Esther Blvd Ste 310a Mary Esther, FL - 325691974 |
| Business Phone Number: | 8502266430 |
| Business Fax Number: | |
| Mailing Address: | 48 Kelly Way, VALPARAISO |
| State: | FL |
| Postal Code: | 325801754 |
| Phone Number: | 8503788713 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 03/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | SW 10307 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |