MS. Chanese Thomas
MS. Chanese Thomas is a Mental Health Counselor in Evanston, Illinois. Qualified in 2022, 4 years ago. Registered with an NPI since 2021.
- Years since qualifying
- 4
- In the registry since
- 2021
Practice location Address checks out
355 Ridge AveEvanston, IL 60202-3328
Phone: (847) 316-3707
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1386217909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 21, 2021 |
| Last updated in NPPES | September 26, 2021 |
| Certification date | September 26, 2021 |
| Mailing address | 355 Ridge Ave, Evanston, IL 60202-3328 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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