Individual provider · Type 1 NPI

Stanley Kevin Thomas, CCAPP, REGISTRANT

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1104291079 Active

Practice location

1680 N Fair Oaks Ave
Pasadena, CA 91103-1642

Fax (626) 798-6970

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104291079

Stanley Kevin Thomas, CCAPP, REGISTRANT's National Provider Identifier is 1104291079, issued on Dec 3, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Dec 3, 2015.