| Connie S. Thomas, Lmft | |
|
12821 Newport Ave Tustin CA 92780-2711 | |
| (949) 812-0499 | |
| Not Available |
| Full Name | Connie S. Thomas, Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12821 Newport Ave, Tustin, California |
| Authorized Official Name and Position | Connie Sue Thomas (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9498120499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connie S. Thomas, Lmft 16002 Legacy Rd Unit 313 Tustin CA 92782-2784 Ph: (949) 812-0499 | Connie S. Thomas, Lmft 12821 Newport Ave Tustin CA 92780-2711 Ph: (949) 812-0499 |
| NPI Number | 1720667942 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720667942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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