MEDICARE: MRS. ROSE CURRIN THOMAS LPC

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
1	101YM0800X	Mental Health Counselor	7047	NC

General Provider Information

NPI Number	:	1639330582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSE CURRIN THOMAS LPC

Provider Business Mailing Address
First Line	:	403 ARLINGTON CIR
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-7600
Country	:	US
Telephone Number	:	919-356-6457
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 ARLINGTON CIR
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-7600
Country	:	US
Telephone Number	:	919-356-6457
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	06/23/2008

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