Individual provider · Type 1 NPI

Mathew Thomas

Mental Health Counselor · Tishomingo, OK

NPI number 1114321478 Active

Practice location

801 E Main St
Tishomingo, OK 73460-2351

Call (571) 331-7374 Map

Mailing address

3722 Heritage Park Dr
Sachse, TX 75048-4741

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114321478

Mathew Thomas's National Provider Identifier is 1114321478, issued on Oct 15, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Oct 15, 2014.