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NPI Code Detail

MEDICARE: JAMA THOMAS

MEDICARE: JAMA THOMAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC1600227OH

General Provider Information

NPI Number : 1255852307
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMA THOMAS
Provider Business Mailing Address
First Line : 4730 WOODLAWN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2047
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 VICTORY PKWY
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1711
Country : US
Telephone Number : 513-751-7747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2017
Last Update Date : 06/29/2017

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Directions to “ JAMA THOMAS ” Practice Location

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