Individual provider · Type 1 NPI

Mary Louise Thomas, CASE MANAGER

Mental Health Counselor · Jackson, TN

NPI number 1679695001 Active

Practice location

238 Summar Dr
Jackson, TN 38301-3906

Call (731) 935-8200 Map

Mailing address

1804 Highway 45 Byp, Suite 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1679695001

Mary Louise Thomas, CASE MANAGER's National Provider Identifier is 1679695001, issued on Apr 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, TN. The record was last updated on Aug 17, 2009.