Lisa V Thomas

NPI #1063999241 in Sullivan, Illinois

Provider Information

NPI Number: 1063999241
Entity Type: Individual
Name: Lisa V Thomas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 20, 2018
Last Updated: Jul 20, 2018

Practice Location

Address: 12 W HARRISON ST
City: Sullivan
State: Illinois
ZIP Code: 61951-1907
Phone: (217) 728-4358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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