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Mr. Jeffery Earl Thomas SR., LPCC,LAADC
Professional Counselor in Venice, California
NPI 1831536028

Jeffery Earl Thomas SR. is a Professional Counselor based in Venice, CA and is specialized in Professional. Jeffery Earl Thomas SR. practices in Venice, CA and has the professional credentials of LPCC,LAADC. The NPI Number for Jeffery Earl Thomas SR. is 1831536028 and holds a License No. (California).

The current practice location address for Jeffery Earl Thomas SR. is 503 Ocean Front Walk, Venice, CA and can be reached out via phone at 310-392-3070 and via fax at 310-557-8989.

Location: 503 Ocean Front Walk, Venice, CA, 90291-2403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831536028
Provider Name
Jeffery Earl Thomas SR.
Credential
LPCC,LAADC
Provider Entity Type
Individual
Gender
Male
Address
503 Ocean Front Walk, Venice, CA, 90291-2403
Phone Number
310-392-3070
Fax Number
310-557-8989
Provider Enumeration Date
05/28/2013
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
CATC NO. 156320 III 01 CA ADDICTION CERTIFICATION BOARD OF CALIFORNIA
LR10050821 01 CA LICENSED ADVANCED ALCOHOL ADDICTION COUNSELOR
T0912071404 01 CA REGISTERED ADDICTION SPECIALIST
institution
Provider Business Practice Location Address Details
Address
503 Ocean Front Walk
City
Venice
State
California
Zip
90291-2403
Phone Number
310-392-3070
Fax Number
310-557-8989
person
Provider Business Mailing Address Details
Address
503 Ocean Front Walk
City
Venice
State
California
Zip
90291-2403
Phone Number
310-392-3070
Fax Number
310-557-8989
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPCC17264 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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