Doctor Name: | MR. CALEX M THOMAS |
NPI Number: | 1548593734 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 3317 W 95th St Suite Ll2 Evergreen Park, IL - 608052243 |
Business Phone Number: | 1708386078 |
Business Fax Number: | |
Mailing Address: | Po Box 42798, EVERGREEN PARK |
State: | IL |
Postal Code: | 608050798 |
Phone Number: | 7735993406 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2009 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |