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General NPI Number Information
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NPI Number | 1538556931
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Entity Type | Individual
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Provider Name | DOUGLAS ALTON THOMAS LPC, LMHC
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Gender |
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 6415 23RD ST S APT 419
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City | ST PETERSBURG
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State | FL
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Zip | 33712-6307
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Country | US
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Telephone | 412-475-9601
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Fax |
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Provider Business Mailing Address
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Address Line | 6415 23RD ST S APT 419
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City | ST PETERSBURG
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State | FL
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Zip | 33712-6307
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Country | US
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Telephone | 412-475-9601
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39002591A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC007549
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License Number State | PA
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