Doctor Name: | DOUGLAS ALTON THOMAS |
NPI Number: | 1538556931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, CCMHC |
License Number: | 39002591A |
Business Practice Address: | 142 Noble Ave Unit B Crafton, PA - 152052844 |
Business Phone Number: | 4124759601 |
Business Fax Number: | |
Mailing Address: | 142 Noble Ave, Unit B CRAFTON |
State: | PA |
Postal Code: | 152052844 |
Phone Number: | 4124759601 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39002591A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |