Individual provider · Type 1 NPI
Kenneth Thomas
Mental Health Counselor · Phoenix, AZ
NPI number
1205264140
Active
Practice location
1010 E Southern Ave, 2
Phoenix, AZ 85040-3123
Fax (602) 268-9519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | BH4214 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1205264140
Kenneth Thomas's National Provider Identifier is 1205264140, issued on Oct 30, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 30, 2013.