| Doctor Name: | ALICIA ROSE THOMAS |
| NPI Number: | 1093779837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.E.D, LPCC |
| License Number: | E3293 |
| Business Practice Address: | 35000 Chardon Rd #210 Willoughby, OH - 440949012 |
| Business Phone Number: | 4409515600 |
| Business Fax Number: | 4409511293 |
| Mailing Address: | 35000 Chardon Rd, #210 WILLOUGHBY |
| State: | OH |
| Postal Code: | 440949012 |
| Phone Number: | 4409515600 |
| Fax Number: | 4409511293 |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E3293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |