Individual provider · Type 1 NPI
Gwena E. Thomason, MED, LPC
Professional Counselor · Tyler, TX
NPI number
1861869307
Active
Practice location
13359 State Highway 155 S
Tyler, TX 75703-6554
Fax (903) 705-6395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 17822 (TX) |
Professional Counselor: Definition to come...
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About NPI 1861869307
Gwena E. Thomason, MED, LPC's National Provider Identifier is 1861869307, issued on Sep 1, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Jan 16, 2018.