Healthcare Provider Details

I. General information

NPI: 1497613251
Provider Name (Legal Business Name): ELIZABETH THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 WHITE AVE
WEED CA
96094-2431
US

IV. Provider business mailing address

575 WHITE AVE
WEED CA
96094-2431
US

V. Phone/Fax

Practice location:
  • Phone: 530-938-2715
  • Fax:
Mailing address:
  • Phone: 530-938-2715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: