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NPI Code Detail

MEDICARE: KATHARINE THOMAS

MEDICARE: KATHARINE 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
1101YM0800XMental Health CounselorCA

General Provider Information

NPI Number : 1881146017
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE THOMAS
Provider Business Mailing Address
First Line : 2026 W BEACON AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-4406
Country : US
Telephone Number : 657-276-7030
Fax Number :
Provider Business Practice Location Address
First Line : 2026 W BEACON AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-4406
Country : US
Telephone Number : 657-276-7030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2016
Last Update Date : 05/04/2021

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Directions to “ KATHARINE THOMAS ” Practice Location

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