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General NPI Number Information
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NPI Number | 1679206577
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Entity Type | Organization
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Legal Business Name | MARY ANN THOMAS LMHC LLC
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 101 CAMBRIDGE ST STE 390
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City | BURLINGTON
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State | MA
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Zip | 01803-3768
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Country | US
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Telephone | 781-496-7415
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2176
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City | PEABODY
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State | MA
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Zip | 01960-7176
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MARY ANN THOMAS
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Credential |
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Telephone | 781-496-7415
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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 |
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License Number State |
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