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NPI Code Detail

MEDICARE: BRIAN THOMAS

MEDICARE: BRIAN 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
1101YA0400XAddiction (Substance Use Disorder) CounselorAII3981214CA

General Provider Information

NPI Number : 1598126013
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN THOMAS
Provider Business Mailing Address
First Line : 120 W SCHOOL AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-4925
Country : US
Telephone Number : 559-625-4100
Fax Number : 559-625-1970
Provider Business Practice Location Address
First Line : 120 W SCHOOL AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-4925
Country : US
Telephone Number : 559-625-4100
Fax Number : 559-625-1970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2016
Last Update Date : 03/10/2016

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1669986626 — MR. LARRY EUGENE ANDRADE II CADC II
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Directions to “ BRIAN THOMAS ” Practice Location

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