Individual provider · Type 1 NPI

Keondre Dejawn Thomas

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1407400856 Active

Practice location

2772 S Martin Luther King Blvd
Fresno, CA 93727

Call (559) 265-4800 Map

Mailing address

2772 S Martin Luther King Blvd
Fresno, CA 93706

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 1407400856

Keondre Dejawn Thomas's National Provider Identifier is 1407400856, issued on Jul 24, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jul 24, 2019.