Individual provider · Type 1 NPI

Ethan Thomas

Mental Health Counselor · Jacksonville, FL

NPI number 1811388564 Active

Practice location

1900 Corporate Square Blvd
Jacksonville, FL 32216-1941

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC5362 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1811388564

Ethan Thomas's National Provider Identifier is 1811388564, issued on Feb 16, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 24, 2015.