| Doctor Name: | CHERYL JEAN THOMAS |
| NPI Number: | 1083775332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC |
| License Number: | 1460 |
| Business Practice Address: | 316 2nd Ave W Williston, ND - 588015218 |
| Business Phone Number: | 7017744600 |
| Business Fax Number: | 7017744620 |
| Mailing Address: | 316 2nd Ave W, WILLISTON |
| State: | ND |
| Postal Code: | 588015218 |
| Phone Number: | 7017744600 |
| Fax Number: | 7017744620 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |