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Kenneth Thomas
NPI 1205264140 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1010 E Southern Ave
2
Phoenix, AZ 85040 - Phone
- (602) 268-9519
- Fax
- (602) 268-9519
- Organisation at this address
- Vista South Assisting Living
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona