Individual provider · Type 1 NPI

Jelisa Renae Thomas

Counselor · Centralia, WA

NPI number 1306462205 Active

Practice location

3510 Steelhammer Ln
Centralia, WA 98531

Call (360) 623-8020 Map

Mailing address

2428 W Reynolds Ave
Centralia, WA 98531-4554

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61083243 (WA)

Counselor: 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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About NPI 1306462205

Jelisa Renae Thomas's National Provider Identifier is 1306462205, issued on Jun 17, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Centralia, WA. The record was last updated on Jan 27, 2026.