Provider Demographics
NPI:1871749622
Name:THOMAS, PATRICIA ANN
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LINCOLN AVE
Mailing Address - Street 2:#206
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-4900
Mailing Address - Country:US
Mailing Address - Phone:707-255-3718
Mailing Address - Fax:707-257-9727
Practice Address - Street 1:1100 LINCOLN AVE
Practice Address - Street 2:#206
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-4900
Practice Address - Country:US
Practice Address - Phone:707-255-3718
Practice Address - Fax:707-257-9727
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor