| Doctor Name: | RENEE THOMAS |
| NPI Number: | 1073891750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC |
| License Number: | LAC 13073 |
| Business Practice Address: | 635 East Baseline Road Phoenix, AZ - 850426551 |
| Business Phone Number: | 6022437277 |
| Business Fax Number: | 6022431235 |
| Mailing Address: | 2702 North 3rd Street, Suite 4020 PHOENIX |
| State: | AZ |
| Postal Code: | 850044608 |
| Phone Number: | 6023233344 |
| Fax Number: | 6023233496 |
| NPI Enumeration Date: | 07/28/2011 |
| NPI Last Update Date: | 12/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LAC 13073 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |