Thomas, Breanna

Thomas, Breanna is an individual health care provider with primary practice located at 2411 S Illinois Ave , Carbondale IL 62903-5913. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Thomas, Breanna can be contacted via phone (618) 615-9754.

Contact Information

Primary practice address
2411 S Illinois Ave Carbondale IL 62903-5913
Phone: (618) 615-9754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1962093070
LBN Legal business name Thomas, Breanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2021
Last updated Feb 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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