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Jelisa Renae Thomas
Mental Health Counselor in Centralia, Washington
NPI 1306462205

Jelisa Renae Thomas is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Jelisa Renae Thomas practices in Centralia, WA. The NPI Number for Jelisa Renae Thomas is 1306462205 and holds a License No. (Washington).

The current practice location address for Jelisa Renae Thomas is 3510 Steelhammer Ln, Centralia, WA and can be reached out via phone at 360-623-8020.

Location: 3510 Steelhammer Ln, Centralia, WA, 98531-4554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306462205
Provider Name
Jelisa Renae Thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
3510 Steelhammer Ln, Centralia, WA, 98531-4554
Phone Number
360-623-8020
Fax Number
Provider Enumeration Date
06/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3510 Steelhammer Ln
City
Centralia
State
Washington
Zip
98531
Phone Number
360-623-8020
Fax Number
person
Provider Business Mailing Address Details
Address
3510 Steelhammer Ln
City
Centralia
State
Washington
Zip
98531
Phone Number
360-623-8020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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