| Clint Thomas LLC | |
|
18201 E 26th Street Ct S Independence MO 64057-2409 | |
| (816) 922-9505 | |
| Not Available |
| Full Name | Clint Thomas LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 18201 E 26th Street Ct S, Independence, Missouri |
| Authorized Official Name and Position | Clinton Earl Thomas (OWNER) |
| Authorized Official Contact | 8169229505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clint Thomas LLC 901 W Main St Suite 203 Blue Springs MO 64015-3743 | Clint Thomas LLC 18201 E 26th Street Ct S Independence MO 64057-2409 Ph: (816) 922-9505 |
| NPI Number | 1427591353 |
|---|---|
| Provider Enumeration Date | 11/25/2016 |
| Last Update Date | 11/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427591353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2002020528 (Missouri) | Primary |
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