Ethan Thomas
Ethan Thomas is a Mental Health Counselor in Jacksonville, Florida. Licensed in Colorado. Registered with an NPI since 2015.
- Licensed in
- CO
- In the registry since
- 2015
Practice location Address checks out
1900 Corporate Square BlvdJacksonville, FL 32216-1941
Phone: (904) 899-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LPC5362 (CO) |
|---|
Record details
| NPI number | 1811388564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 16, 2015 |
| Last updated in NPPES | June 24, 2015 |
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