Individual provider · Type 1 NPI

Detra Thomas

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1659182350 Active

Practice location

1111 Market St
San Francisco, CA 94103-1513

Call (415) 863-8338 Map

Fax (415) 863-7343

Mailing address

850 Towbin Ave
Lakewood, NJ 08701-5928

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12081 (CA)

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

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About NPI 1659182350

Detra Thomas's National Provider Identifier is 1659182350, issued on Jan 14, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Jul 22, 2026.