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Breanna Thomas
Counselor in Carbondale, Illinois
NPI 1962093070

Breanna Thomas is a Counselor based in West Frankfort, IL. Breanna Thomas practices in Carbondale, IL. The NPI Number for Breanna Thomas is 1962093070 and holds a License No. (Illinois).

The current practice location address for Breanna Thomas is 2411 S Illinois Ave, Carbondale, IL and can be reached out via phone at 618-615-9754. You can also correspond with Breanna Thomas through the mailing address at 902 W MAIN ST, WEST FRANKFORT, IL - 62896-2210 (mailing address contact number: 618-937-6483).

Location: 2411 S Illinois Ave, Carbondale, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962093070
Provider Name
Breanna Thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
2411 S Illinois Ave, Carbondale, IL, 62896-2210
Phone Number
618-615-9754
Fax Number
Provider Enumeration Date
02/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2411 S Illinois Ave
City
Carbondale
State
Illinois
Zip
62903-5913
Phone Number
618-615-9754
Fax Number
person
Provider Business Mailing Address Details
Address
2411 S Illinois Ave
City
Carbondale
State
Illinois
Zip
62903-5913
Phone Number
618-615-9754
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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's degree and clinical experience and supervision for licensure or certification.
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